Endovascular Treatment of Acute Ischemic Stroke in the Pediatric Population – A Single-Center Experience

Abstract

Pediatric ischemic stroke is an underOrecognized condition, frequently leading to delayed diagnosis. Most childhood strokes are due to intracranial arteriopathy, wherein mechanical thrombectomy is not applicable. Conversely, cardioembolic strokes may benefit from mechanical intervention, similarly to adults. Despite strong evidence for endovascular therapy in adults with acute ischemic stroke, limited data exist in children and adolescents.Methods: We performed a retrospective review of all cases of endovascular treatment of acute ischemic stroke in the pediatric population at our center between 2011 and 2018. Discussion/Conclusion: With the rise of mechanical trombectomy for the treatment of LVO stroke, increasing numbers of treated strokes in the pediatric population are expected. Mechanical thrombectomy seems safe and feasible in the pediatric population. Multidisciplinary selection of pediatric patients with LVO is warranted. Larger prospective studies are needed to validate these conclusions.