title: Image-Guided Thromboembolectomy of Acute Arterial Occlusion in Children.
abstract: Acute arterial thromboembolism (ATE) is rare in childhood, but this medical emergency requires immediate treatment. Described herein are separate instances of lower extremity ATE in 2 children, both of whom were successfully managed through image-guided thromboembolectomy (IGT). One patient, a 34-month-old female child with nephrotic syndrome, developed bilateral iliac and popliteal thromboembolic arterial occlusions after high-dose steroid therapy. Another 9-year-old girl suffered an embolism of left popliteal artery due to infectious endocarditis. Both patients underwent IGT using over-the-wire Fogarty catheters. During follow-up, presenting symptoms resolved without significant complications.
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors.forename: Song-Yi
authors.initials: SY
authors.lastname: Kim
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors.forename: Ahram
authors.initials: A
authors.lastname: Han
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors.forename: Chanjoong
authors.initials: C
authors.lastname: Choi
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors.forename: Sang-Il
authors.initials: SI
authors.lastname: Min
authors.affiliation: Department of Radiology, Seoul National University Hospital, Seoul, Korea.
authors.forename: Hyo-Cheol
authors.initials: HC
authors.lastname: Kim
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors.forename: Jongwon
authors.initials: J
authors.lastname: Ha
authors.affiliation: Department of Surgery, Seoul National University Hospital, Seoul, Korea. Electronic address: skminmd@snuh.org.
authors.forename: Seung-Kee
authors.initials: SK
authors.lastname: Min
mesh_terms: D000208:Acute Disease; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D017128:Embolectomy / Q000379:methods*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D035002:Lower Extremity / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D017131:Thrombectomy / Q000379:methods*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*