title: Neurovascular stents in pediatric population.
abstract: OBJECTIVE
  The purpose of the study is to analyze the results obtained using stents for the treatment of neurovascular diseases in pediatric patients.
  
  
  METHODS
  A retrospective study of 6-year period was undertaken evaluating clinical charts and imaging studies of patients treated with stents because of neurovascular diseases.
  
  
  RESULTS
  Nine patients were managed with 10 stents. Seven children were females. The median age was 11 years. There were four cases of broad neck cerebral aneurysms, a pseudoaneurysm of the cervical internal carotid artery, a vertebro-jugular fistula, two patients with internal carotid artery (ICA) stenosis affecting the cervical and supraclinoid segment, and a vertebral artery dissection. The only complication was a silent posterior communicating artery (PCoA) thrombosis in a PCoA aneurysm treated with two stents. Dual antiplatelet therapy was given after the procedure to avoid in stent thrombosis.
  
  
  CONCLUSIONS
  Stents are safe and effective for treatment of neurovascular diseases in children, but studies are needed in order to protocolize the use of antiplatelet drugs in children.
authors.affiliation: Hospital Nacional de Pediatria JP Garrahan, Buenos Aires, Argentina. frequejo@intramed.net.
authors.forename: Flavio
authors.initials: F
authors.lastname: Requejo
authors.affiliation: Hospital Nacional de Pediatria JP Garrahan, Buenos Aires, Argentina.
authors.forename: Federico
authors.initials: F
authors.lastname: Lipsich
authors.affiliation: Hospital Nacional de Pediatria JP Garrahan, Buenos Aires, Argentina.
authors.forename: Roberto
authors.initials: R
authors.lastname: Jaimovich
authors.affiliation: Hospital Nacional de Pediatria JP Garrahan, Buenos Aires, Argentina.
authors.forename: Graciela
authors.initials: G
authors.lastname: Zuccaro
mesh_terms: D000293:Adolescent; D002561:Cerebrovascular Disorders / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors
keywords: Antiplatelet drug; Carotid artery stenosis; Cerebral broad neck aneurysm; Children; Stent; Stroke