ArticleNeuroradiology2019
Foetal radiation exposure caused by mechanical thrombectomy in large-vessel ischaemic stroke in pregnancy.
Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Mechanical Thrombectomy as Stroke Management in Pregnancy: A Systematic Review.Stroke (Hoboken, N.J.) · 2026Article
- Acute Ischemic Stroke in Pregnancy : A Practical Focus on Neuroimaging and Reperfusion Therapy.Clinical neuroradiology · 2023Review
- European Stroke Organisation guidelines on stroke in women: Management of menopause, pregnancy and postpartum.European stroke journal · 2022Article
- A Case of an Early Pregnant Woman with Congenital Protein S Deficiency Who Underwent Mechanical Thrombectomy.Journal of neuroendovascular therapy · 2022Article
- Thrombolysis and Mechanical Thrombectomy for Acute Ischemic Stroke in Pregnancy: A Case Report.Journal of neuroendovascular therapy · 2021Article
- Neurocritical Care of the Pregnant Patient.Current treatment options in neurology · 2021Review
- Mechanical thrombectomy for acute stroke in pregnancy.The neuroradiology journal · 2020Review
- Mechanical Thrombectomy: Review.Annals of Indian Academy of NeurologyArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is overwhelming evidence for the clinical benefits that are derived following mechanical thrombectomy in large-vessel acute ischaemic stroke. The risk of stroke is elevated in pregnancy due to many factors. To date, there have been two reports, totalling five patients, who have undergone mechanical thrombectomy in pregnancy, thus demonstrating the feasibility of the procedure; however, there is no data on the radiation exposure to the mother or foetus related to this therapy.
methodsWe highlight the important technical considerations to minimise the risk of the procedure and report the estimated dose received by mother and foetus. We also compare these doses with those received during whole-body CT in trauma and CT pulmonary angiogram (CTPA) examinations.
resultsThree cases of mechanical thrombectomy were performed at separate tertiary referral neuroscience centres in the UK. Following diagnostic CT and mechanical thrombectomy, the total whole-body effective dose to the pregnant patient was significantly higher than in patients undergoing CTPA (p < 0.05), but not significant different compared to whole-body CT imaging in trauma patients. The estimated dose received by the foetus following diagnostic CT and mechanical thrombectomy was significantly lower than in whole-body imaging in trauma patients at p < 0.05, with no difference in estimated foetal dose compared to CTPA imaging.
conclusionThe estimated doses received by the foetus during diagnostic stroke imaging and mechanical thrombectomy are equivalent to, or less than, purely diagnostic imaging in emergency situations.
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