Fibrin-Heparin-Coated Intracranial Stents as Salvage Therapy in Pediatric Focal Cerebral Arteriopathy-Inflammatory Type.
Marija Cagalj, Anna Schaper, Christian Brickmann et al.
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Case in brief
A 13-year-old boy presented with progressive arterial ischemic stroke due to focal cerebral arteriopathy inflammatory type. Initial treatments, including antiplatelet and immunosuppressive therapies, failed to prevent clinical and radiographic deterioration. Successful revascularization was achieved through endovascular therapy using balloon angioplasty and fibrin-heparin-coated intracranial stents, leading to stabilization, although he continued to experience hemiparesis.
Diagnostic / clinical pearl
In cases of pediatric arterial ischemic stroke, consider focal cerebral arteriopathy inflammatory type, especially when initial medical therapies are ineffective.
Why it matters
This case highlights the potential role of fibrin-heparin-coated stents in managing complex pediatric cerebrovascular conditions that do not respond to conventional treatments.