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Intravenous thrombolysis followed by intra-arterial thrombolysis and mechanical thrombectomy for the treatment of pediatric ischemic stroke.

Abstract：

:Experience with systemic or selective local administration of thrombolytic agents in pediatric ischemic stroke is limited to sporadic case reports, since patients of age less than 18 years were systematically excluded from randomised controlled trials. We report a case of childhood IS attributable to the terminal internal carotid artery occlusion that was treated successfully with mechanical thrombectomy which followed unsuccessful attempts to recanalize the artery with intravenous and intra-arterial thrombolytics. Combined systemic and intra-arterial thrombolysis followed by mechanical thrombectomy can be feasible and may be considered as means of achieving reperfusion in pediatric ischemic stroke patients with persisting arterial occlusion.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Tsivgoulis G,Horton JA,Ness JM,Patterson D,Brethour M,Abanses JC,Alexandrov AV

doi

10.1016/j.jns.2008.07.018

subject

Has Abstract

pub_date

2008-12-15 00:00:00

pages

151-3

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(08)00363-8

journal_volume

275

pub_type

杂志文章

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