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Case Report: Successful Mechanical Thrombectomy in a Newborn With Basilar Artery Occlusion

Overview
Journal Front Neurol
Specialty Neurology
Date 2022 Mar 11
PMID 35273551
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Abstract

Background: Neonatal stroke remains a rare condition that has not yet been assessed in the field of endovascular treatment.

Case: We present the first case report of a successful mechanical thrombectomy in a newborn with a basilar occlusion the treatment was 14 hours after birth. Complete reperfusion of the basilar artery was achieved after the two thrombectomy maneuvers with stent retrievers. Imaging follow-up proved patency of the target vessel and at day 30, the patient showed no neurologic deficits.

Conclusions: Mechanical thrombectomy appears to be technically feasible and can be an individual option in selected cases to treat stroke in neonates with proven persistent proximal cerebral artery occlusion.

Citing Articles

Successful Mechanical Thrombectomy for Basilar Artery Occlusion in a Pediatric Patient: A Case Report.

Teivane A, Nalivaiko I, Jurjans K, Vetra J, Veiss A, Novasa A Biomedicines. 2023; 11(10).

PMID: 37893148 PMC: 10603831. DOI: 10.3390/biomedicines11102774.

References
1.
Gunther G, Junker R, Strater R, Schobess R, Kurnik K, Heller C . Symptomatic ischemic stroke in full-term neonates : role of acquired and genetic prothrombotic risk factors. Stroke. 2000; 31(10):2437-41. DOI: 10.1161/01.str.31.10.2437. View

2.
Govaert P, Dudink J, Visser G, Breukhoven P, Vanhatalo S, Lequin M . Top of the basilar artery embolic stroke and neonatal myoclonus. Dev Med Child Neurol. 2009; 51(4):324-7. DOI: 10.1111/j.1469-8749.2008.03183.x. View

3.
Kirton A, Armstrong-Wells J, Chang T, deVeber G, Rivkin M, Hernandez M . Symptomatic neonatal arterial ischemic stroke: the International Pediatric Stroke Study. Pediatrics. 2011; 128(6):e1402-10. DOI: 10.1542/peds.2011-1148. View

4.
Kenet G, Lutkhoff L, Albisetti M, Bernard T, Bonduel M, Brandao L . Impact of thrombophilia on risk of arterial ischemic stroke or cerebral sinovenous thrombosis in neonates and children: a systematic review and meta-analysis of observational studies. Circulation. 2010; 121(16):1838-47. DOI: 10.1161/CIRCULATIONAHA.109.913673. View

5.
Rollins N, Pride G, Plumb P, Dowling M . Brainstem strokes in children: an 11-year series from a tertiary pediatric center. Pediatr Neurol. 2013; 49(6):458-64. DOI: 10.1016/j.pediatrneurol.2013.07.007. View