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Endovascular Therapy for Childhood Stroke—Working Together to Reach Prime Time

Endovascular Therapy for Childhood Stroke—Working Together to Reach Prime Time Opinion EDITORIAL Endovascular Therapy for Childhood Stroke— Working Together to Reach Prime Time Christine Fox, MD, MAS; Nomazulu Dlamini, MBBS, MSc, PhD The standard of care for stroke treatment in adults changed by symptomatic intracerebral hemorrhage in 1 child and malignant infarction followed by decompressive hemicrani- rapidly in 2015 after results from 5 major clinical trials each showed efficacy of endovascular treatment of anterior circu- ectomy in 3 children (4%). One child with a history of 1-5 lation large-vessel occlusion within 6 hours of stroke onset. congenital heart disease died. The authors reported success- The positive results of these ful recanalization in most patients, concluding that endovas- studies have since raised cular procedures are feasible in children and an important Related article page 25 questions about whether treatment to be considered in the management of pediatric endovascular therapy should stroke. be used for children who present with stroke due to large- Delayed recognition of stroke in children is often a bar- vessel occlusion and, other than age, fit adult criteria for rier to hyperacute treatment. Although some children in the thrombectomy. Compared with the occurrence in adults, Save ChildS study were treated outside of the 6.0-hour win- ischemic stroke http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

Endovascular Therapy for Childhood Stroke—Working Together to Reach Prime Time

JAMA Neurology , Volume 77 (1) – Jan 14, 2020

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/jamaneurol.2019.3412
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Endovascular Therapy for Childhood Stroke— Working Together to Reach Prime Time Christine Fox, MD, MAS; Nomazulu Dlamini, MBBS, MSc, PhD The standard of care for stroke treatment in adults changed by symptomatic intracerebral hemorrhage in 1 child and malignant infarction followed by decompressive hemicrani- rapidly in 2015 after results from 5 major clinical trials each showed efficacy of endovascular treatment of anterior circu- ectomy in 3 children (4%). One child with a history of 1-5 lation large-vessel occlusion within 6 hours of stroke onset. congenital heart disease died. The authors reported success- The positive results of these ful recanalization in most patients, concluding that endovas- studies have since raised cular procedures are feasible in children and an important Related article page 25 questions about whether treatment to be considered in the management of pediatric endovascular therapy should stroke. be used for children who present with stroke due to large- Delayed recognition of stroke in children is often a bar- vessel occlusion and, other than age, fit adult criteria for rier to hyperacute treatment. Although some children in the thrombectomy. Compared with the occurrence in adults, Save ChildS study were treated outside of the 6.0-hour win- ischemic stroke

Journal

JAMA NeurologyAmerican Medical Association

Published: Jan 14, 2020

References