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RETRACTED ARTICLE: Trends in endovascular interventions for pediatric ischemic stroke at the national level: data from 2000 to 2009

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This article was retracted on 20 July 2022

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Abstract

Purpose

Present knowledge is limited with regard to endovascular and interventional management of pediatric acute ischemic stroke (AIS). The current practice of neurointerventions in this population was analyzed via a national database.

Methods

The Kids’ Inpatient Database for years 2000, 2003, 2006, and 2009 was examined for patients aged < 18 years discharged with a primary diagnosis of AIS and identified according to ICD-9 codes. Descriptive statistics were tabulated on each of the subcohorts.

Results

There were 3467 patients identified; 920 (26.5%) underwent angiograms, 51 (1.5%) angiogram + thrombolysis, and 18 (0.5%) received angiogram + endovascular recanalization. The angiogram only subcohort was significantly younger compared with thrombolysis and endovascular procedure subcohorts (9.8 vs. 12.2 vs. 14.9 years, P < 0.001). Mortality was 4.3%, significantly lower for angiogram only than for thrombolysis (1.1% vs. 18.2%, P < 0.0001). Thrombolysis also had significantly higher hospital charges ($149,045 vs. $64,826, P < 0.0001). While not many differences in outcomes between angiogram only versus endovascular procedures, the latter had higher financial burden ($122,482 vs. $64,826, P < 0.0001).

Conclusions

This national study suggests that children receiving neurointerventions tend to be older (> 12 years) and heart and valvular defects are their most likely comorbidities. There was a lower mortality and fewer complications with endovascular procedures when compared with intravenous/intraarterial thrombolysis alone. Thrombolysis was also associated with more non-routine discharges and lengthier stay.

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Authors and Affiliations

  1. Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Faris Shweikeh & Miriam Nuno

  2. Department of Neurosurgery, Albany Medical Center, Albany, NY, USA

    Matthew Adamo

Authors
  1. Faris Shweikeh
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  2. Miriam Nuno
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  3. Matthew Adamo
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Contributions

FS obtained the data, analyzed the data, wrote the manuscript, and reviewed the manuscript. MN obtained the data and reviewed the manuscript. MA reviewed the manuscript.

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Correspondence to Faris Shweikeh.

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This article has been retracted. Please see the retraction notice for more detail: https://doi.org/10.1007/s00381-022-05611-7

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Shweikeh, F., Nuno, M. & Adamo, M. RETRACTED ARTICLE: Trends in endovascular interventions for pediatric ischemic stroke at the national level: data from 2000 to 2009. Childs Nerv Syst 37, 161–166 (2021). https://doi.org/10.1007/s00381-020-04714-3

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  • DOI: https://doi.org/10.1007/s00381-020-04714-3

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