Failure of a clot retrieval device in an adolescent stroke patient

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

A previously healthy 14-year-old boy collapsed after a football game, with aphasia and right hemiparesis. Cranial magnetic resonance imaging and magnetic resonance angiography revealed left middle cerebral artery distribution ischemic infarct with thrombus and possible dissection at the horizontal segment of the middle cerebral artery. The patient was treated 9 hours after collapse with intra-arterial tissue plasminogen activator, but without success. The Merci clot retrieval device was then used, but the device broke in the middle cerebral artery and led to complete occlusion. At follow-up 3 months later, the boy had persistent aphasia, but notable improvement in his right hemiparesis. This is a novel report of a complication of mechanical clot retrieval treatment in a child. Further research is needed to determine the safety and effectiveness of intracranial endovascular clot retrieval devices in children.

Original languageEnglish (US)
Pages (from-to)435-438
Number of pages4
JournalPediatric Neurology
Volume43
Issue number6
DOIs
StatePublished - Dec 1 2010

Fingerprint

Middle Cerebral Artery
Aphasia
Stroke
Paresis
Equipment and Supplies
Football
Magnetic Resonance Angiography
Tissue Plasminogen Activator
Dissection
Thrombosis
Magnetic Resonance Imaging
Safety
Research
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

Cite this

Failure of a clot retrieval device in an adolescent stroke patient. / Felker, Marcia V.; Zimmer, Jennifer A.; Golomb, Meredith R.

In: Pediatric Neurology, Vol. 43, No. 6, 01.12.2010, p. 435-438.

Research output: Contribution to journalArticle

@article{50a68535503047d287141d1bb57aac91,
title = "Failure of a clot retrieval device in an adolescent stroke patient",
abstract = "A previously healthy 14-year-old boy collapsed after a football game, with aphasia and right hemiparesis. Cranial magnetic resonance imaging and magnetic resonance angiography revealed left middle cerebral artery distribution ischemic infarct with thrombus and possible dissection at the horizontal segment of the middle cerebral artery. The patient was treated 9 hours after collapse with intra-arterial tissue plasminogen activator, but without success. The Merci clot retrieval device was then used, but the device broke in the middle cerebral artery and led to complete occlusion. At follow-up 3 months later, the boy had persistent aphasia, but notable improvement in his right hemiparesis. This is a novel report of a complication of mechanical clot retrieval treatment in a child. Further research is needed to determine the safety and effectiveness of intracranial endovascular clot retrieval devices in children.",
author = "Felker, {Marcia V.} and Zimmer, {Jennifer A.} and Golomb, {Meredith R.}",
year = "2010",
month = "12",
day = "1",
doi = "10.1016/j.pediatrneurol.2010.06.010",
language = "English (US)",
volume = "43",
pages = "435--438",
journal = "Pediatric Neurology",
issn = "0887-8994",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Failure of a clot retrieval device in an adolescent stroke patient

AU - Felker, Marcia V.

AU - Zimmer, Jennifer A.

AU - Golomb, Meredith R.

PY - 2010/12/1

Y1 - 2010/12/1

N2 - A previously healthy 14-year-old boy collapsed after a football game, with aphasia and right hemiparesis. Cranial magnetic resonance imaging and magnetic resonance angiography revealed left middle cerebral artery distribution ischemic infarct with thrombus and possible dissection at the horizontal segment of the middle cerebral artery. The patient was treated 9 hours after collapse with intra-arterial tissue plasminogen activator, but without success. The Merci clot retrieval device was then used, but the device broke in the middle cerebral artery and led to complete occlusion. At follow-up 3 months later, the boy had persistent aphasia, but notable improvement in his right hemiparesis. This is a novel report of a complication of mechanical clot retrieval treatment in a child. Further research is needed to determine the safety and effectiveness of intracranial endovascular clot retrieval devices in children.

AB - A previously healthy 14-year-old boy collapsed after a football game, with aphasia and right hemiparesis. Cranial magnetic resonance imaging and magnetic resonance angiography revealed left middle cerebral artery distribution ischemic infarct with thrombus and possible dissection at the horizontal segment of the middle cerebral artery. The patient was treated 9 hours after collapse with intra-arterial tissue plasminogen activator, but without success. The Merci clot retrieval device was then used, but the device broke in the middle cerebral artery and led to complete occlusion. At follow-up 3 months later, the boy had persistent aphasia, but notable improvement in his right hemiparesis. This is a novel report of a complication of mechanical clot retrieval treatment in a child. Further research is needed to determine the safety and effectiveness of intracranial endovascular clot retrieval devices in children.

UR - http://www.scopus.com/inward/record.url?scp=78649239850&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78649239850&partnerID=8YFLogxK

U2 - 10.1016/j.pediatrneurol.2010.06.010

DO - 10.1016/j.pediatrneurol.2010.06.010

M3 - Article

C2 - 21093737

AN - SCOPUS:78649239850

VL - 43

SP - 435

EP - 438

JO - Pediatric Neurology

JF - Pediatric Neurology

SN - 0887-8994

IS - 6

ER -