Child's Nervous System

, Volume 32, Issue 3, pp 505–509 | Cite as

Neurovascular stents in pediatric population

  • Flavio Requejo
  • Federico Lipsich
  • Roberto Jaimovich
  • Graciela Zuccaro
Original Paper

Abstract

Purpose

The purpose of the study is to analyze the results obtained using stents for the treatment of neurovascular diseases in pediatric patients.

Methods

A retrospective study of 6-year period was undertaken evaluating clinical charts and imaging studies of patients treated with stents because of neurovascular diseases.

Results

Nine patients were managed with 10 stents. Seven children were females. The median age was 11 years. There were four cases of broad neck cerebral aneurysms, a pseudoaneurysm of the cervical internal carotid artery, a vertebro-jugular fistula, two patients with internal carotid artery (ICA) stenosis affecting the cervical and supraclinoid segment, and a vertebral artery dissection. The only complication was a silent posterior communicating artery (PCoA) thrombosis in a PCoA aneurysm treated with two stents. Dual antiplatelet therapy was given after the procedure to avoid in stent thrombosis.

Conclusion

Stents are safe and effective for treatment of neurovascular diseases in children, but studies are needed in order to protocolize the use of antiplatelet drugs in children.

Keywords

Stent Cerebral broad neck aneurysm Carotid artery stenosis Stroke Children Antiplatelet drug 

Notes

Compliance with ethical standards

Conflict of interest

There is no conflict of interest in this paper.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Flavio Requejo
    • 1
  • Federico Lipsich
    • 1
  • Roberto Jaimovich
    • 1
  • Graciela Zuccaro
    • 1
  1. 1.Hospital Nacional de Pediatria JP GarrahanBuenos AiresArgentina

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