Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report

Stroke ranks among the top 10 most common causes of death in children. Recently, there has been a significant increase in the number of strokes in the pediatric population. Mechanical thrombectomy is an uncommon method for treating acute ischemic stroke (AIS) in children. This case report discusses...

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Main Authors: Justyna Kowalczewska, Katarzyna Stanisławska, Joanna Rybacka-Mossakowska, Robert Juszkat, Sławomir Michalak
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1530420/full
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author Justyna Kowalczewska
Katarzyna Stanisławska
Joanna Rybacka-Mossakowska
Joanna Rybacka-Mossakowska
Robert Juszkat
Sławomir Michalak
author_facet Justyna Kowalczewska
Katarzyna Stanisławska
Joanna Rybacka-Mossakowska
Joanna Rybacka-Mossakowska
Robert Juszkat
Sławomir Michalak
author_sort Justyna Kowalczewska
collection DOAJ
description Stroke ranks among the top 10 most common causes of death in children. Recently, there has been a significant increase in the number of strokes in the pediatric population. Mechanical thrombectomy is an uncommon method for treating acute ischemic stroke (AIS) in children. This case report discusses a 13-year-old girl with a history of ischemic stroke for the past 3 months, obesity, hypertension, and antiphospholipid syndrome (APS, treated with rivaroxaban), who suffered another ischemic stroke and underwent mechanical thrombectomy with favorable clinical outcomes. Additionally, the patient was diagnosed with antithrombin III deficiency. It is necessary to identify risk factors for AIS in the pediatric population, such as thrombophilia or autoimmune diseases, such as antiphospholipid syndrome, and to develop guidelines for the use of thrombectomy in children. This method could reduce mortality, improve quality of life, prevent disability, and lower future medical costs.
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-4ea149d0c20b42b1af6677b7b0180ef12025-08-20T02:16:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-04-011210.3389/fmed.2025.15304201530420Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case reportJustyna Kowalczewska0Katarzyna Stanisławska1Joanna Rybacka-Mossakowska2Joanna Rybacka-Mossakowska3Robert Juszkat4Sławomir Michalak5University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandDepartment of General and Interventional Radiology, University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandDepartment of Neurochemistry and Neuropathology, University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandDepartment of Neurology, University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandDepartment of General and Interventional Radiology, University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandDepartment and Clinic of Neurosurgery and Neurotraumatology, University Clinical Hospital in Poznan, Poznan University of Medical Sciences, Poznan, PolandStroke ranks among the top 10 most common causes of death in children. Recently, there has been a significant increase in the number of strokes in the pediatric population. Mechanical thrombectomy is an uncommon method for treating acute ischemic stroke (AIS) in children. This case report discusses a 13-year-old girl with a history of ischemic stroke for the past 3 months, obesity, hypertension, and antiphospholipid syndrome (APS, treated with rivaroxaban), who suffered another ischemic stroke and underwent mechanical thrombectomy with favorable clinical outcomes. Additionally, the patient was diagnosed with antithrombin III deficiency. It is necessary to identify risk factors for AIS in the pediatric population, such as thrombophilia or autoimmune diseases, such as antiphospholipid syndrome, and to develop guidelines for the use of thrombectomy in children. This method could reduce mortality, improve quality of life, prevent disability, and lower future medical costs.https://www.frontiersin.org/articles/10.3389/fmed.2025.1530420/fullthrombectomypediatric strokeantiphospholipid syndromeacute ischemic strokestroke center
spellingShingle Justyna Kowalczewska
Katarzyna Stanisławska
Joanna Rybacka-Mossakowska
Joanna Rybacka-Mossakowska
Robert Juszkat
Sławomir Michalak
Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
Frontiers in Medicine
thrombectomy
pediatric stroke
antiphospholipid syndrome
acute ischemic stroke
stroke center
title Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
title_full Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
title_fullStr Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
title_full_unstemmed Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
title_short Mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome—a case report
title_sort mechanical thrombectomy in a pediatric patient with antiphospholipid syndrome a case report
topic thrombectomy
pediatric stroke
antiphospholipid syndrome
acute ischemic stroke
stroke center
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1530420/full
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