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Mechanical thrombectomy in a pediatric patient with sedation aided by contralateral intra-arterial propofol injection: feasibility in an extreme condition

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Abstract

Pediatric patients undergoing mechanical thrombectomy may be challenging for the anesthesiologists as regards the best anesthetic choice, especially if concomitant to severe comorbidities such as heart failure. A 16-year-old patient affected by arrhythmogenic right ventricle dysplasia/cardiomyopathy underwent mechanical thrombectomy. He was not eligible for deep sedation or general anesthesia since he has been suffering from severe heart failure. The patient stillness was obtained by intra-arterial injection of propofol from the contralateral internal carotid artery. The procedure has been well tolerated, without cardiorespiratory impairment. The case stresses the growing importance to tailor a proper anesthesiologic plan during mechanical thrombectomy, especially in extreme conditions.

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Authors and Affiliations

  1. Institute of Radiology, University of Padova, Padova, Italy

    Davide Simonato

  2. Neurosurgery Unit, Oxford University Hospital Trust, Oxford, UK

    Mario Ganau

  3. Institute of Anesthesia and Intensive Care, University of Padova, Padova, Italy

    Paolo Feltracco & Andrea Bortolato

  4. Neuroradiology Unit, Padova University Hospital, Padova, Italy

    Francesco Causin

  5. Neurointensive Care Unit, Padova University Hospital, Via Giustiniani 2, 35128, Padova, Italy

    Marina Munari & Andrea Bortolato

Authors
  1. Davide Simonato
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  2. Mario Ganau
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  3. Paolo Feltracco
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  4. Francesco Causin
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  5. Marina Munari
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  6. Andrea Bortolato
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Correspondence to Andrea Bortolato.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Simonato, D., Ganau, M., Feltracco, P. et al. Mechanical thrombectomy in a pediatric patient with sedation aided by contralateral intra-arterial propofol injection: feasibility in an extreme condition. Childs Nerv Syst 37, 1785–1789 (2021). https://doi.org/10.1007/s00381-020-04872-4

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  • DOI: https://doi.org/10.1007/s00381-020-04872-4

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