Thrombectomy in the Extended Time Window for Acute Stroke in Children

Imaging-guided thrombectomy was feasible and safe in children in a retrospective analysis of nonrandomized data.

Endovascular thrombectomy (EVT) is an established treatment for adults with acute ischemic stroke associated with a large-vessel occlusion. Treatment decisions beyond 6 hours after stroke onset are guided by the imaging profile. Whether advanced imaging can help guide treatment decisions for children with acute stroke beyond 6 hours has not been studied. In this analysis, authors retrospectively analyzed data on children treated with EVT beyond 6 hours in a multicenter trial. The primary endpoint was the change in the pediatric NIH Stroke Scale (PedNIHSS) score from admission to day 7.

Twenty children (median age, 10.5 years; 35% male) met the study criteria. The median time to treatment was 9.8 hours after stroke. Median infarct volume was …

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Thrombectomy in the Extended Time Window for Acute Stroke in Children

Topics

Reviewing Author