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Case Report: Successful Mechanical Thrombectomy in a Newborn With Basilar Artery Occlusion

Christian Paul Stracke, Lukas Meyer, Wolfram Schwindt, Alexander Ranft, Ronald Straeter

2022Frontiers in Neurology15 citationsDOIOpen Access PDF

Abstract

Background: Neonatal stroke remains a rare condition that has not yet been assessed in the field of endovascular treatment. Case: We present the first case report of a successful mechanical thrombectomy in a newborn with a basilar occlusion the treatment was 14 hours after birth. Complete reperfusion of the basilar artery was achieved after the two thrombectomy maneuvers with stent retrievers. Imaging follow-up proved patency of the target vessel and at day 30, the patient showed no neurologic deficits. Conclusions: Mechanical thrombectomy appears to be technically feasible and can be an individual option in selected cases to treat stroke in neonates with proven persistent proximal cerebral artery occlusion.

Topics & Concepts

MedicineOcclusionBasilar arteryStroke (engine)SurgeryEndovascular treatmentRadiologyAneurysmEngineeringMechanical engineeringBlood Coagulation and Thrombosis MechanismsNeonatal and fetal brain pathologyAcute Ischemic Stroke Management
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