Acute ischemic stroke in a child due to basilar artery occlusion treated successfully with a stent retriever.

Abstract:

:Ischemic strokes in childhood are rare. Thrombolytic therapy with intravenous (IV) tissue plasminogen activator (tPA) has been the main intervention for the management of pediatric stroke patients, but safety data are lacking and efficacy has been questioned. Recently, successful endovascular treatments for acute ischemic stroke in children have been reported with increasing frequency, suggesting that mechanical thrombectomy can be a safe and effective treatment. We present the case of a 22-month-old child with acute ischemic stroke due to basilar artery occlusion that was successfully treated with a stent retriever.

journal_name

J Neurointerv Surg

authors

Savastano L,Gemmete JJ,Pandey AS,Roark C,Chaudhary N

doi

10.1136/neurintsurg-2015-011821.rep

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

e33

issue

8

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2015-011821.rep

journal_volume

8

pub_type

杂志文章
  • Preliminary outcomes of single antiplatelet therapy for surface-modified flow diverters in an animal model: analysis of neointimal development and thrombus formation using OCT.

    abstract:OBJECTIVE:To evaluate the rate of neointimal development and thrombus formation of surface-modified flow diverters in single antiplatelet therapy (SAPT) using optical coherence tomography (OCT) in a porcine model. METHODS:We divided 10 experimental pigs into two groups. One group (n=6) received dual antiplatelet thera...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-013935

    authors: Matsuda Y,Jang DK,Chung J,Wainwright JM,Lopes D

    更新日期:2019-01-01 00:00:00

  • Pipeline embolization device thrombosis induced peri-construct collateral channels.

    abstract::More than half a decade of experience and follow-up has now been accumulated with regard to flow diversion as a treatment for intracranial aneurysms; however, many uncertainties, such as the nature of aneurysmal remnants and the meaning of non-regressed, non-perfused aneurysmal masses, are still unknown. Here we discu...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012093.rep

    authors: Chiu AH,Marotta TR

    更新日期:2016-11-01 00:00:00

  • DynaCT evaluation of in-stent restenosis following Wingspan stenting of intracranial stenosis.

    abstract:OBJECTIVE AND IMPORTANCE:To describe the use of DynaCT angiographic imaging for the evaluation of Wingspan in-stent restenosis (ISR). METHODS:Two patients were treated with Wingspan stenting and percutaneous transluminal angioplasty (Patient 1 had treatment of a severe stenosis of the right middle cerebral artery and ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.000505

    authors: Moskowitz SI,Kelly ME,Haynes J,Fiorella D

    更新日期:2010-03-01 00:00:00

  • Delayed stenosis following stentriever use in acute stroke intervention.

    abstract::We report two cases of delayed post-embolectomy stenosis--that is, a new stenosis in the vascular bed of a previous endovascular embolectomy. The first case was discovered incidentally in a patient returning after embolectomy for evaluation of cerebral aneurysms. The second case was discovered on an MR angiogram obtai...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011136.rep

    authors: Macke JJ,Bellew MP,Hellinger FR Jr

    更新日期:2015-05-01 00:00:00

  • The safety of anticoagulation in patients with intracranial aneurysms.

    abstract:BACKGROUND AND PURPOSE:Little is known about the safety of long-term anticoagulation in patients with unruptured saccular intracranial aneurysms, although case reports of anticoagulation in patients with fusiform and saccular aneurysms have been published. The goal of this study was to estimate the rate of subarachnoid...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010359

    authors: Tarlov N,Norbash AM,Nguyen TN

    更新日期:2013-09-01 00:00:00

  • Carotid revascularization treatment is shifting to low volume centers.

    abstract:BACKGROUND:Expansion of the endovascular and surgical workforce in the USA might lead to carotid revascularization procedures being carried out at low volume centers. OBJECTIVE:To evaluate trends in the treatment of carotid stenosis at high volume centers in the USA and compare outcomes by hospital volume. METHODS:Us...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011180

    authors: Brinjikji W,Kallmes DF,Lanzino G,Cloft HJ

    更新日期:2015-05-01 00:00:00

  • Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

    abstract::Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CC...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013229.rep

    authors: Konstas AA,Song A,Song J,Thanos A,Ross IB

    更新日期:2018-06-01 00:00:00

  • Concomitant coiling reduces metalloproteinase levels in flow diverter-treated aneurysms but anti-inflammatory treatment has no effect.

    abstract:BACKGROUND AND PURPOSE:Flow diverters (FD) can cause rare but devastating delayed aneurysm ruptures in which matrix metalloproteinases (MMPs) have been potentially implicated. Concomitant coiling or anti-inflammatory medications have been proposed to prevent the risk of delayed ruptures. The aim of this study was to ev...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012207

    authors: Thielen E,McClure M,Rouchaud A,Ding YH,Dai D,Schroeder D,Cebral J,Kallmes DF,Kadirvel R

    更新日期:2017-03-01 00:00:00

  • De novo pseudoaneurysm formation after angioplasty and stenting of posterior circulation intracranial atherosclerotic disease: mechanism, characterization with intravascular ultrasound and management considerations.

    abstract:BACKGROUND:The formation of de novo pseudoaneurysms after stent implantation has not been well characterized after stenting of intracranial vessels. Its clinical significance is unknown, resulting in a difficult decision making process with regard to its treatment. METHODS:The database of patients treated at the Bapti...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010443

    authors: Dabus G,Linfante I,Samaniego EA

    更新日期:2013-09-01 00:00:00

  • Angiographic detection of cerebral cavernous malformations with C-arm cone beam CT imaging in three patients.

    abstract::Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010650.rep

    authors: Radvany MG,Rigamonti D,Gailloud P

    更新日期:2014-03-01 00:00:00

  • Permanent implantation of the Solitaire device as a bailout technique for large vessel intracranial occlusions.

    abstract::The Solitaire (Medtronic Inc, Mansfield, Massachusetts, USA) is a stentriever device for endovascular treatment of acute ischemic stroke. Temporary endovascular bypass and mechanical thrombectomy are well-described applications of this device. However, few reports of permanent stent placement have been published. We p...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013418

    authors: Ahmed SU,Mann J,Houde J,Barber E,Kelly ME,Peeling L

    更新日期:2019-02-01 00:00:00

  • Long term experience using the ADAPT technique for the treatment of acute ischemic stroke.

    abstract:INTRODUCTION:The direct aspiration first pass technique (ADAPT) has been introduced as a simple and fast method for achieving good angiographic and clinical outcomes using large bore aspiration catheters for the treatment of acute ischemic stroke (AIS). We present a single center's long term experience with ADAPT. MET...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012211

    authors: Vargas J,Spiotta A,Fargen K,Turner R,Chaudry I,Turk A

    更新日期:2017-05-01 00:00:00

  • Larger size ratio associated with the rupture of very small (≤3 mm) anterior communicating artery aneurysms.

    abstract:BACKGROUND:Anterior communicating artery (AcoA) aneurysms have a high rupture risk, and ruptured AcoA aneurysms tend to be smaller than other intracranial aneurysms. We aimed to determine the incidence and morphologic predictors of aneurysm rupture of very small AcoA aneurysms. METHODS:We conducted a retrospective ana...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012294

    authors: Xu T,Lin B,Liu S,Shao X,Xia N,Zhang Y,Xu H,Yang Y,Zhong M,Zhuge Q,Zhao B,Chen W

    更新日期:2017-03-01 00:00:00

  • The detrimental clinical impact of severe angiographic vasospasm may be diminished by maximal medical therapy and intensive endovascular treatment.

    abstract:OBJECTIVE:Severe angiographic vasospasm (aVSP) is a risk factor for poor functional outcome following subarachnoid hemorrhage. We investigated the impact of angiographic surveillance and intensive endovascular treatment using transluminal balloon angioplasty (TBA) and/or verapamil infusion for severe aVSP through compa...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011403

    authors: Mortimer AM,Steinfort B,Faulder K,Bradford C,Finfer S,Assaad N,Harrington T

    更新日期:2015-12-01 00:00:00

  • Ophthalmic artery occlusion after Pipeline Embolization Device placement with reconstitution of flow via an endoleak: a report of two cases.

    abstract::The Pipeline Embolization Device (PED) is a flow diverting stent used in the treatment of a wide variety of intracranial aneurysms. The device differs from traditional stents used in stent-assisted coil embolization in that it has a tighter lattice structure with smaller cell sizes designed specifically to disrupt blo...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012782

    authors: Adix ML,Kaminsky IA,Choi IS

    更新日期:2017-07-01 00:00:00

  • Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee.

    abstract::The purpose of this publication is to provide a comprehensive review on the techniques and tools used for vascular access in neurointerventional procedures. Using published literature, we reviewed data on access methods, sites, tools, and techniques for neurointerventions. Recommendations are provided based on quality...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015573

    authors: Starke RM,Snelling B,Al-Mufti F,Gandhi CD,Lee SK,Dabus G,Fraser JF,Society of NeuroInterventional Surgery.

    更新日期:2020-08-01 00:00:00

  • Early carotid angioplasty and stenting may offer non-inferior treatment for symptomatic cases of carotid artery stenosis.

    abstract:OBJECTIVE:Early intervention is desirable in patients presenting with stroke or transient ischemic attack (TIA) referable to carotid artery stenosis because of the high incidence of recurrent ischemic events within 48 h post-ictus. However, the optimal timing of performing carotid angioplasty and stenting (CAS) in thes...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010744

    authors: Wach MM,Dumont TM,Mokin M,Kass-Hout T,Snyder KV,Hopkins LN,Levy EI,Siddiqui AH

    更新日期:2014-05-01 00:00:00

  • Relationship of white matter lesion severity with early and late outcomes after mechanical thrombectomy for large vessel stroke.

    abstract:BACKGROUND:White matter lesions (WML) are associated with poor outcome after mechanical thrombectomy (MT) for large vessel stroke; the reasons are uncertain. To elucidate this issue we sought to determine the association of WML with multiple early and late outcome measures after MT. METHODS:We retrospectively analyzed...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-015940

    authors: Albo Z,Marino J,Nagy M,Jayaraman DK,Azeem MU,Puri AS,Henninger N

    更新日期:2021-01-01 00:00:00

  • Thrombectomy for acute ischemic stroke in the elderly: a 'real world' experience.

    abstract:INTRODUCTION:Completed randomized trials on endovascular thrombectomy (ET) did not independently assess the efficacy of ET in the elderly (≥80 years old) who were often excluded or under-represented in trials. There were also inconsistent criteria for patient selection in this population across the different trials. Th...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-013787

    authors: Alawieh A,Chatterjee A,Feng W,Porto G,Vargas J,Kellogg R,Turk AS,Turner RD,Imran Chaudry M,Spiotta AM

    更新日期:2018-12-01 00:00:00

  • Infundibular dilations of the posterior communicating arteries: pathogenesis, anatomical variants, aneurysm formation, and subarachnoid hemorrhage.

    abstract:BACKGROUND:Cerebrovascular infundibular dilations (IDs) are triangular-shaped widenings less than 3 mm in diameter, which are most commonly found at the posterior communicating artery (PCoA). The aims of this systematic review are to elucidate the natural histories of IDs, determine their risk of progression to signifi...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2015-011827

    authors: Chen CJ,Moosa S,Ding D,Raper DM,Burke RM,Lee CC,Chivukula S,Wang TR,Starke RM,Crowley RW,Liu KC

    更新日期:2016-08-01 00:00:00

  • Analysis of endovascular treatment of ruptured microaneurysms compared with ruptured larger aneurysms.

    abstract:OBJECTIVE:To retrospectively analyze the complications and outcome of the endovascular treatment of ruptured microaneurysms compared with the treatment of ruptured larger aneurysms. METHODS:40 ruptured cerebral microaneurysms treated by endovascular techniques were selected retrospectively and compared with 207 larger...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011660

    authors: Murias Quintana E,Vega P,Morales E,Gil A,Cuellar H,Navia P,Saiz A,Meilán A,Cadenas M,Larrosa D,Gutierrez-Morales JC,Lopez A

    更新日期:2016-06-01 00:00:00

  • Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience.

    abstract:BACKGROUND AND PURPOSE:To report on the feasibility, safety, and outcome of acute intracranial stenting (ICS) with the Acclino (Flex) Stent and NeuroSpeed Balloon Catheter in cases of failed mechanical thrombectomy (MT) for acute ischemic stroke (AIS). METHODS:We retrospectively reviewed the data of patients treated w...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1136/neurintsurg-2019-014957

    authors: Stracke CP,Meyer L,Fiehler J,Leischner H,Bester M,Buhk JH,Thomalla G,Krause LU,Lowens S,Rothaupt J,Chapot R,Hanning U

    更新日期:2020-01-01 00:00:00

  • p64 Flow Modulation Device in the treatment of intracranial aneurysms: initial experience and technical aspects.

    abstract:BACKGROUND:Experience with the endovascular treatment of cerebral aneurysms by flow diverter devices (FDDs) is limited to four devices (Pipeline, Covidien; FRED, Microvention; Silk, Balt Extrusion; Surpass, Stryker), as reported in different studies. OBJECTIVE:To describe the initial experience and the technical innov...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011743

    authors: Briganti F,Leone G,Marseglia M,Cicala D,Caranci F,Maiuri F

    更新日期:2016-02-01 00:00:00

  • Per-pass analysis of acute ischemic stroke clots: impact of stroke etiology on extracted clot area and histological composition.

    abstract:BACKGROUND:Initial studies investigating correlations between stroke etiology and clot composition are conflicting and do not account for clot size as determined by area. Radiological studies have shown that cardioembolic strokes are associated with shorter clot lengths and lower clot burden than non-cardioembolic clot...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016966

    authors: Fitzgerald S,Rossi R,Mereuta OM,Jabrah D,Okolo A,Douglas A,Molina Gil S,Pandit A,McCarthy R,Gilvarry M,Dunker D,Nordanstig A,Ceder E,Redfors P,Jood K,Dehlfors N,Magoufis G,Tsivgoulis G,Brinjikji W,Kallmes DF,O'Har

    更新日期:2020-12-09 00:00:00

  • Assessing variability in neurointerventional practice patterns for acute ischemic stroke.

    abstract:BACKGROUND:Intra-arterial therapy (IAT) is increasingly used to treat patients with acute stroke with large vessel occlusions. There are minimal data and guidelines for treatment indications and performance standards. We aimed to gain a better understanding of real-world practice patterns for IAT. METHODS:An internet-...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010565

    authors: Mehta B,Leslie-Mazwi TM,Chandra RV,Chaudhry ZA,Rabinov JD,Hirsch JA,Schwamm LH,Rost NS,Yoo AJ

    更新日期:2013-05-01 00:00:00

  • Impact of WASID and Wingspan on the frequency of intracranial angioplasty and stenting at a high volume tertiary care hospital.

    abstract:BACKGROUND AND PURPOSE:The impact of the Warfarin and Aspirin for Symptomatic Intracranial Disease (WASID) data is described in combination with the commercial release of the Wingspan stenting system on the frequency of neurointervention for the treatment of symptomatic intracranial atherosclerotic disease (ICAD) in a ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.000497

    authors: Moskowitz SI,Kelly ME,Obuchowski N,Fiorella D

    更新日期:2009-12-01 00:00:00

  • Distinction between contrast staining and hemorrhage after endovascular stroke treatment: one CT is not enough.

    abstract:BACKGROUND:Postinterventional cerebral hyperdensities (PCHDs) are a common finding after endovascular stroke treatment. There is uncertainty about the extent to which PCHDs correspond to hemorrhage or contrast staining. Our aim was to evaluate the use of PCHD density on immediate postinterventional CT, and PCHD evoluti...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012290

    authors: Dekeyzer S,Nikoubashman O,Lutin B,De Groote J,Vancaester E,De Blauwe S,Hemelsoet D,Wiesmann M,Defreyne L

    更新日期:2017-04-01 00:00:00

  • Novel use of onyx for treatment of intracranial vertebral artery dissection.

    abstract::This report describes a patient who presented with subarachnoid hemorrhage and extensive right posterior inferior cerebellar artery territory infarct secondary to a dissecting aneurysm of the right intracranial vertebral artery. Urgent endovascular treatment was undertaken with plans for trapping of the diseased segme...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2011.004952

    authors: Oh DC,Hirsch JA,Yoo AJ

    更新日期:2012-01-01 00:00:00

  • Transient cranial neuropathies as sequelae of Onyx embolization of arteriovenous shunt lesions near the skull base: possible axonotmetic traction injuries.

    abstract:INTRODUCTION:Transarterial embolization with Onyx is a relatively safe and increasingly common method of treating cranial dural arteriovenous fistulas (DAVF) and arteriovenous malformations (AVM). Cranial neuropathy resulting from this procedure has been reported. CASE REPORTS:Three case histories are presented in two...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010328

    authors: Nyberg EM,Chaudry MI,Turk AS,Turner RD

    更新日期:2013-07-01 00:00:00

  • Pathologic validation of clot length determined using thin section non-contrast CT.

    abstract:BACKGROUND AND PURPOSE:Recent studies have demonstrated that in acute ischemic stroke patients, thin section non-contrast CT (NCCT) can be used to determine the length of the hyperdense intracranial thrombus, and that clot length using this approach predicts the likelihood of vessel recanalization after intravenous tis...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010369

    authors: Yoo AJ,Leslie-Mazwi TM,Riedel CH,Chandra RV

    更新日期:2013-07-01 00:00:00