Successful Clot Retrieval Therapy of Cerebral Embolism in a Pediatric Patient with Ventricular Assist Device: A Case Report

Takahiro Murata; Jun-ichi Koyama; Kazuhiro Kimura; Yoshiki Hanaoka; Takuya Nakamura; Akihiro Chiba; Hisashi Nagashima; Kazuhiro Hongo

doi:10.5797/jnet.cr.2016-0063

Case Reports

Successful Clot Retrieval Therapy of Cerebral Embolism in a Pediatric Patient with Ventricular Assist Device: A Case Report

Takahiro Murata, Jun-ichi Koyama, Kazuhiro Kimura, Yoshiki Hanaoka, Takuya Nakamura, Akihiro Chiba, Hisashi Nagashima, Kazuhiro Hongo

Author information

Takahiro Murata
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Jun-ichi Koyama
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Kazuhiro Kimura
Department of Cardiovascular Medicine, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Yoshiki Hanaoka
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Takuya Nakamura
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Akihiro Chiba
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Hisashi Nagashima
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Kazuhiro Hongo
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan

Keywords: acute clot retrieval therapy, mechanical thrombectomy, cerebral embolism, pediatric patient, ventricular assist device

JOURNAL OPEN ACCESS

2016 Volume 11 Issue 1 Pages 29-34

DOI https://doi.org/10.5797/jnet.cr.2016-0063

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Details

Abstract

Objective: We describe a successful clot retrieval therapy of cerebral embolism while on a ventricular assist device (VAD) in a pediatric patient.

Case Presentations: A 15-year-old boy underwent an intracorporeal type left VAD placement as a bridge to heart transplantation for severe heart failure related to dilated cardiomyopathy. Eight months later, he suddenly presented with right hemiparesis and dysarthria. A head computed tomography (CT) scan demonstrated a hyperdense sign in the left middle cerebral artery (MCA), and cerebral angiography revealed occlusion of the left MCA M1 distal segment. Mechanical thrombectomy with a stent clot retrieval device achieved complete recanalization. His symptoms rapidly improved and disappeared.

Conclusion: Clot retrieval therapy may be useful for treating a pediatric patient with cerebral embolism related to VAD therapy.

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