Successful Endovascular Therapy in COVID-19 Associated Pediatric Ischemic Stroke.

Autor: Jillella DV; Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: dinesh.jillella@emory.edu., Philbrook B; Department of Pediatrics, Pediatric Neurology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: bryan.philbrook@emory.edu., Ortolani E; Department of Pediatrics, Pediatric Neurology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: ortolaniek2@upmc.edu., Grossberg JA; Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: jonathan.a.grossberg@emory.edu., Stani T; Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: tristan.michael.stani@emory.edu., Samuels O; Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States; Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: obsamue@emory.edu., Pimentel C; Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States; Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: cederic.pimentel@emory.edu., Harrison A; Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States., Polu AR; Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: poluashok@gmail.com., Siegel BI; Department of Pediatrics, Pediatric Neurology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: benjamin.siegel@emory.edu., McCullough I; Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: ian.mccullough@emory.edu., Cawley M; Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: ccawley@emory.edu., Nahab F; Department of Neurology & Pediatrics, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: fnahab@emory.edu.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2021 Dec; Vol. 30 (12), pp. 106152. Date of Electronic Publication: 2021 Oct 05.
DOI: 10.1016/j.jstrokecerebrovasdis.2021.106152
Abstrakt: Cerebrovascular diseases attributed to coronavirus disease 2019 (COVID-19) are uncommon but can result in devastating outcomes. Pediatric acute ischemic strokes are themselves rare and with very few large vessel occlusion related acute ischemic strokes attributed to COVID-19 described in the literature as of date. COVID-19 pandemic has contributed to acute stroke care delays across the world and with pediatric endovascular therapy still in its infancy, it poses a great challenge in facilitating good outcomes in children presenting with acute ischemic strokes in the setting of COVID-19. We present a pediatric patient who underwent endovascular therapy for an internal carotid artery occlusion related acute ischemic stroke in the setting of active COVID-19 and had an excellent outcome thanks to a streamlined stroke pathway involving the vascular neurology, neuro-interventional, neurocritical care, and anesthesiology teams.
Competing Interests: Declaration of Competing Interest The authors report no conflicts of interest.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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