Late Pediatric Mechanical Thrombectomy for Embolic Stroke as Bridge Reinforcement From LVAD to Heart Transplantation

Jean-François Hak; Anne Moreau de Bellaing; Grégoire Boulouis; Charles-Joris Roux; Basile Kerleroux; Damien Bonnet; Lucile Houyel; Olivier Raisky; Manoelle Kossorotoff; Olivier Naggara

doi:10.1016/j.jaccas.2020.10.028

Late Pediatric Mechanical Thrombectomy for Embolic Stroke as Bridge Reinforcement From LVAD to Heart Transplantation

JACC Case Rep. 2021 Feb 24;3(4):686-689. doi: 10.1016/j.jaccas.2020.10.028. eCollection 2021 Apr.

Authors

Jean-François Hak^{1

2}, Anne Moreau de Bellaing^{3

4}, Grégoire Boulouis^{1

2}, Charles-Joris Roux², Basile Kerleroux^{1

2}, Damien Bonnet^{3

4}, Lucile Houyel^{3

4}, Olivier Raisky^{3

4}, Manoelle Kossorotoff^{4

5}, Olivier Naggara^{1

2

5}

Affiliations

¹ Department of Neuroradiology, University of Paris, INSERM UMR 1266 IMA-BRAIN, University Hospital Group, GHU Paris, Paris, France.
² Department of Paediatric Radiology, University Hospital Necker-Enfants-Malades, University of Paris, AP-HP, Paris, France.
³ M3C-Necker, University Hospital Necker-Enfants-Malades, University of Paris, AP-HP, Paris, France.
⁴ Department of Paediatric Neurology, University Hospital Necker-Enfants-Malades, University of Paris, AP-HP, Paris, France.
⁵ French Center for Pediatric Stroke, France; Department of Pediatric Neurology, AP-HP, University Hospital Necker-Enfants-Malades, INSERM U894, University of Paris, Paris, France.

Abstract

Although the left ventricular assist device is an important bridge to heart transplantation for patients with end-stage heart failure, it can also be a source of embolic stroke. We present a case of late intracranial mechanical thrombectomy performed for embolic stroke beyond the recommended 6 h, thus allowing for heart transplantation 4 days after intracranial mechanical thrombectomy. (Level of Difficulty: Advanced.).

Keywords: CICU, cardiac intensive care unit; CT, computed tomography; LVAD, left ventricular assist device; MT, mechanical thrombectomy; PedNISS, Pediatric National Institutes of Health Stroke Scale; collateral circulation; heart; ischemic stroke; left ventricular assist device; mechanical thrombectomy; pediatric; transplantation.

Publication types

Case Reports