{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:53:47Z","timestamp":1780095227541,"version":"3.54.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The treatment of vascular diseases has evolved significantly over the years, with recent advancements in interventional strategies, particularly in the management of acute limb ischaemia (ALI). Endovascular and catheter-based interventions, including aspiration mechanical thrombectomy, are now commonly employed and well-documented in the adult population. However, their use in paediatric patients remains rare and underreported. This case report presents our experience managing ALI in a paediatric patient using an endovascular approach\u2014a relatively novel technique in this population with limited data currently available.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report our experience managing a case of ALI in a 14-year-old girl who underwent an elective stenting procedure for coarctation of the aorta. Although the primary intervention was completed, the patient subsequently developed thrombosis of the left common femoral artery. She was treated with aspiration mechanical thrombectomy using a computer-assisted vacuum thrombectomy system. The procedure was successful, resulting in prompt re-establishment of lower limb perfusion and a favourable clinical outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case report offers anecdotal evidence that may serve as a catalyst for future studies evaluating the feasibility of an endovascular approach using aspiration mechanical thrombectomy in the paediatric population. It highlights the potential to identify a clearly defined subset of patients who may benefit most from such interventions. Our experience provides valuable clinical insight and adds to the growing armamentarium for managing ALI in young children.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf321","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T06:19:32Z","timestamp":1753165172000},"source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous aspiration mechanical thrombectomy in a 14-year-old with acute limb ischaemia post coarctation of aorta stenting: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6296-775X","authenticated-orcid":false,"given":"Raja Muhammad Burhanudeen Afiq","family":"Raja Badrol Hisham","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Institut Jantung Negara ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathan Mohan","family":"J. Munusamy","sequence":"additional","affiliation":[{"name":"Paediatric and Congenital Heart Centre, Institut Jantung Negara ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismazizi","family":"Zaharudin","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Institut Jantung Negara ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geetha","family":"Kandavello","sequence":"additional","affiliation":[{"name":"Paediatric and Congenital Heart Centre, Institut Jantung Negara ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"2025072801414470500_ytaf321-B1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jvs.2017.11.064","article-title":"Epidemiology, treatment, and outcomes of acute limb ischemia in the pediatric population","volume":"68","author":"Lim","year":"2018","journal-title":"J Vasc Surg"},{"key":"2025072801414470500_ytaf321-B2","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.jvs.2014.01.051","article-title":"Management of acute limb ischemia in the pediatric population","volume":"60","author":"Kayssi","year":"2014","journal-title":"J Vasc Surg"},{"key":"2025072801414470500_ytaf321-B3","first-page":"100255","article-title":"D-50 | complications and failure modes of the Perclose vascular closure device: insights from MAUDE database","volume":"1","author":"Alhusain","year":"2022","journal-title":"J Soc Cardiovasc Angiogr Interv"},{"key":"2025072801414470500_ytaf321-B4","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1055\/s-2004-815623","article-title":"Arterial thromboembolism in the pediatric population","volume":"29","author":"Price","year":"2003","journal-title":"Semin Thromb Hemost"},{"key":"2025072801414470500_ytaf321-B5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/1538574415604059","article-title":"Acute limb ischemia in pediatric population secondary to peripheral vascular cannulation: literature review and recommendations","volume":"49","author":"Sadat","year":"2015","journal-title":"Vasc Endovascular Surg"},{"key":"2025072801414470500_ytaf321-B6","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ejvs.2019.09.006","article-title":"Editor\u2019s Choice\u2014European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of acute limb ischaemia","volume":"59","author":"Bj\u00f6rck","year":"2020","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025072801414470500_ytaf321-B7","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jvs.2019.10.079","article-title":"Single-center experience with Indigo aspiration thrombectomy for acute lower limb ischemia","volume":"72","author":"Lopez","year":"2020","journal-title":"J Vasc Surg"},{"key":"2025072801414470500_ytaf321-B8","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jvir.2017.08.019","article-title":"Utility of a power aspiration\u2013based extraction technique as an initial and secondary approach in the treatment of peripheral arterial thromboembolism: results of the multicenter PRISM trial","volume":"29","author":"Saxon","year":"2018","journal-title":"J Vasc Interv Radiol"},{"key":"2025072801414470500_ytaf321-B9","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/j.ejvs.2021.01.004","article-title":"Safety and efficacy of vacuum assisted thrombo-aspiration in patients with acute lower limb ischaemia: the INDIAN trial","volume":"61(5)","author":"de Donato","year":"2021","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025072801414470500_ytaf321-B10","first-page":"247","article-title":"Mechanical thrombectomy in acute limb ischemia: ad interim results of the INDIAN UP trial","volume":"64","author":"de Donato","year":"2023","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"2025072801414470500_ytaf321-B11","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.jvs.2023.10.062","article-title":"Safety and efficacy of mechanical aspiration thrombectomy for patients with acute lower extremity ischemia","volume":"79","author":"Maldonado","year":"2024","journal-title":"J Vasc Surg"},{"key":"2025072801414470500_ytaf321-B12","doi-asserted-by":"crossref","first-page":"62","DOI":"10.54522\/jvsgbi.2024.109","article-title":"Management of iatrogenic acute limb ischaemia in the paediatric intensive care unit population","volume":"3","author":"Kwan","year":"2024","journal-title":"J Vasc Soc G B Irel"}],"container-title":["European Heart Journal - 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