Successful Endovascular Therapy in COVID-19 Associated Pediatric Ischemic Stroke

J Stroke Cerebrovasc Dis. 2021 Dec;30(12):106152. doi: 10.1016/j.jstrokecerebrovasdis.2021.106152. Epub 2021 Oct 5.

Abstract

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.

Keywords: COVID-19; COVID-19 in children; Endovascular therapy; Hypercoagulable state; Pediatric stroke; Stroke in children; Stroke therapy.

Publication types

  • Case Reports

MeSH terms

  • COVID-19 / complications*
  • COVID-19 / diagnosis
  • Carotid Artery Thrombosis / diagnosis
  • Carotid Artery Thrombosis / etiology
  • Carotid Artery Thrombosis / therapy*
  • Carotid Artery, Internal* / diagnostic imaging
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / etiology
  • Carotid Stenosis / therapy*
  • Child
  • Endovascular Procedures* / instrumentation
  • Humans
  • Ischemic Stroke / diagnosis
  • Ischemic Stroke / etiology
  • Ischemic Stroke / therapy*
  • Male
  • Stents
  • Thrombectomy*
  • Treatment Outcome