Percutaneous aspiration mechanical thrombectomy in a 14-year-old with acute limb ischaemia post coarctation of aorta stenting: a case report

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—a relatively novel technique in this population with limited data currently available.

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.

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.