For over ten years, arrays of interacting single-domain nanomagnets, referred to as artificial spin ices, have been engineered with the aim to study frustration in model spin systems. Here, we use Fresnel imaging to study the reversal process in "pinwheel" artificial spin ice, a modified square ASI structure obtained by rotating each island by some angle about its midpoint. Our results demonstrate that a simple 45° rotation changes the magnetic ordering from antiferromagnetic to ferromagnetic, creating a superferromagnet which exhibits mesoscopic domain growth mediated by domain wall nucleation and coherent domain propagation. We observe several domain-wall configurations, most of which are direct analogues to those seen in continuous ferromagnetic films. However, charged walls also appear due to the geometric constraints of the system. Changing the orientation of the external magnetic field allows control of the nature of the spin reversal with the emergence of either one- or two-dimensional avalanches. This property of pinwheel ASI could be employed to tune devices based on magnetotransport phenomena such as Hall circuits.

Background

Endovascular thrombectomy is a promising treatment for acute ischemic stroke in children, but outcome and technical data in pediatric patients with large-vessel occlusions are lacking.

Objective

To assess technical and clinical outcomes of thrombectomy in pediatric patients.

Methods

We undertook a retrospective cohort study of pediatric patients who experienced acute ischemic stroke from April 2017 to April 2019 who had immediate, 30-, and 90-d follow-up. Patients were treated with endovascular thrombectomy at 5 US pediatric tertiary care facilities. We recorded initial and postprocedural modified Thrombolysis in Cerebral Infarction (mTICI) grade ≥ 2b, initial and postprocedural Pediatric National Institutes of Health Stroke Scale (PedNIHSS) score, and pediatric modified Rankin scale (mRS) score 0 to 2 at 90 d.

Results

There were 23 thrombectomies in 21 patients (mean age 11.6 ± 4.9 yr, median 11.5, range 2.1-19; 52% female). A total of 19 (83%) thrombectomies resulted in mTICI grade ≥ 2b recanalization. The median PedNIHSS score was 13 on presentation (range 4-33) and 2 (range 0-26) at discharge (mean reduction 11.3 ± 6.1). A total of 14 (66%) patients had a mRS score of 0 to 2 at 30-d follow-up; 18/21 (86%) achieved that by 90 d. The median mRS was 1 (range 0-4) at 30 d and 1 (range 0-5) at 90 d. One patient required a blood transfusion after thrombectomy.

Conclusion

In this large series of pediatric patients treated with endovascular thrombectomy, successful recanalization was accomplished via a variety of approaches with excellent clinical outcomes; further prospective longitudinal study is needed.