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Mechanical embolectomy for ischemic stroke in a pediatric ventricular assist device patient
Author(s) -
Rhee Eileen,
Hurst Robert,
Pukenas Bryan,
Ichord Rebecca,
Cahill Anne Marie,
Rossano Joseph,
Fuller Stephanie,
Lin Kimberly
Publication year - 2014
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12241
Subject(s) - medicine , embolectomy , antithrombotic , stroke (engine) , incidence (geometry) , ventricular assist device , embolic stroke , population , circulatory system , surgery , transplantation , ischemic stroke , cardiology , heart failure , ischemia , pulmonary embolism , environmental health , optics , mechanical engineering , physics , engineering
The reported incidence of cerebral embolic or hemorrhagic complications related to mechanical circulatory support in children is high, even while subjects are managed with aggressive antithrombotic therapy. The safety and utility of endovascular treatment for stroke in the pediatric VAD population has not been established in the published literature. We describe a nine‐yr‐old patient on BiVAD support who experienced threatened AIS on two separate occasions. He was treated successfully via mechanical embolectomy on both occasions and survived to transplantation with minimal neurologic deficits.