Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
Successful Clot Retrieval Therapy of Cerebral Embolism in a Pediatric Patient with Ventricular Assist Device: A Case Report
Takahiro MurataJun-ichi KoyamaKazuhiro KimuraYoshiki HanaokaTakuya NakamuraAkihiro ChibaHisashi NagashimaKazuhiro Hongo
ジャーナル オープンアクセス 早期公開

論文ID: cr.2016-0063


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.