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

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引用する場合も本公開記事を引用してください。

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

著者情報

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

キーワード: acute clot retrieval therapy, mechanical thrombectomy, cerebral embolism, pediatric patient, ventricular assist device

ジャーナルオープンアクセス早期公開

論文ID: cr.2016-0063

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

この記事には本公開記事があります。

The final version of this article is now available: Vol. 11 (2016), No. 1 pp. 29-34

詳細

抄録

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.

責任著者(Corresponding author)

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