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Isabel Fragata Teresa Morais Rita Silva Ana Paiva Nunes Petra Loureiro Jos Diogo Martins Jaime Pamplona Rui Carvalho Mariana Baptista Joo Reis 《Interventional neuroradiology》2021,27(1):16
IntroductionMechanical thrombectomy is standard treatment for large vessel occlusion (LVO) in adults. There are no randomized controlled trials for the pediatric population. We report our single-center experience with thrombectomy of LVO in a series of pediatric patients, and perform a review of the literature.MethodsRetrospective review of consecutive pediatric thrombectomy cases between 2011 and 2018. Demographic variables, imaging data, technical aspects and clinical outcome were recorded.ResultsIn a period of 7 years, 7 children were treated for LVO at our center. Median age was 13 (2–17), and median Ped-NIHSS was 15 (3–24), and the median ASPECTS was 8 (2–10). Five patients had cardiac disease, and 2 of them were under external cardiac assistance. Median time from onset of symptoms to beginning of treatment was 7h06m (2h58m–21h38m). Five patients had middle cerebral artery occlusions. Thrombectomy was performed using a stentriever in 3 patients, aspiration in 3 patients, and combined technique in 1 patient. Six patients had good recanalization (TICI 2 b/3). There were no immediate periprocedural complications. At 3 months, 4 patients (57%) were independent (mRS score <3). Two patients died, one after haemorrhagic transformation of an extensive MCA infarct, and one due to extensive brainstem ischemia in the setting of varicella vasculitis.DiscussionSelected pediatric patients with LVO may be treated with mechanical thrombectomy safely. In patients under external cardiac assistance and under anticoagulation, thrombectomy is the only alternative for treatment of LVO. A multidisciplinary approach in specialized pediatric stroke centers with trained neurointerventionalists are essential for good results. 相似文献
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Vasconcelos Camila Vilela Costa Alan Carlos Müller Caroline Castoldi Gustavo Costa Andréia Mendes de Paula Barbosa Kássia Rodrigues Arthur Almeida da Silva Adinan Alves 《Ecotoxicology (London, England)》2020,29(2):203-216
Ecotoxicology - Common bean (Phaseolus vulgaris) cultivation occurs mainly in regions with acidic soils, where high aluminum (Al) concentration is a major constraint to crop production. In this... 相似文献
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Coelho Daniel Gomes Marinato Claudio Sérgio de Matos Letícia Paiva de Andrade Heloísa Monteiro da Silva Vinicius Melo Santos-Neves Pedro Henrique Araújo Samuel Coelho Oliveira Juraci Alves 《Ecotoxicology (London, England)》2020,29(2):196-202
Ecotoxicology - In order to evaluate the differential absorption and toxicity of arsenate (AsV) and arsenite (AsIII), Lemna valdiviana plants were grown in a nutrient solution and subjected to 0.0... 相似文献
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Reproducibility of MR‐based liver fat quantification across field strength: Same‐day comparison between 1.5T and 3T in obese subjects
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