title: Mechanical embolectomy for ischemic stroke in a pediatric ventricular assist device patient.
abstract: 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.
authors.affiliation: The Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Anesthesiology and Critical Care Medicine, Philadelphia, PA, USA.
authors.forename: Eileen
authors.initials: E
authors.lastname: Rhee
authors.forename: Robert
authors.initials: R
authors.lastname: Hurst
authors.forename: Bryan
authors.initials: B
authors.lastname: Pukenas
authors.forename: Rebecca
authors.initials: R
authors.lastname: Ichord
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Cahill
authors.forename: Joseph
authors.initials: J
authors.lastname: Rossano
authors.forename: Stephanie
authors.initials: S
authors.lastname: Fuller
authors.forename: Kimberly
authors.initials: K
authors.lastname: Lin
mesh_terms: D000792:Angiography; D002545:Brain Ischemia / Q000601:surgery*; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000628:therapy*; D002648:Child; D017128:Embolectomy / Q000379:methods*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006084:Graft Rejection; D016027:Heart Transplantation / Q000009:adverse effects; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D020521:Stroke / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents
keywords: circulatory support devices; endovascular procedure; pediatric; stroke