A Case of Treated Mechanical Thrombectomy for Subclavian Artery and Vertebral Artery Embolism in a 1-Year-Old Child

Abstract

  Mechanical thrombectomy (MT) has been firmly established as the standard therapeutic modality for acute cerebral infarction attributable to large vessel occlusion in the adult population. However, its applications in pediatric stroke cases have been rarely reported. We successfully performed the MT procedure on a one-year-old patient by employing balloon protection to address a large amount of thrombus extending from the origin of the left vertebral artery to the left subclavian artery. Despite encountering limitations imposed by the 4Fr sheath, we achieved success through the utilization of a suction catheter in conjunction with a stent retriever. We utilized a combined technique due to the substantial volume of thrombotic material and the constrained dimensions of the suction catheter.