Pediatric Thrombectomy
Author(s) -
David C. Lauzier,
Maria M. Galardi,
Kristin P. Guilliams,
Manu S. Goyal,
Catherine AmlieLefond,
Danial K. Hallam,
Akash P. Kansagra
Publication year - 2021
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.120.032268
Subject(s) - medicine , workflow , pediatric stroke , stroke (engine) , protocol (science) , medical emergency , intensive care medicine , ischemic stroke , pathology , alternative medicine , mechanical engineering , management , ischemia , engineering , economics
Endovascular thrombectomy has played a major role in advancing adult stroke care and may serve a similar role in pediatric stroke care. However, there is a need to develop better evidence and infrastructure for pediatric stroke care. In this work, we review 2 experienced pediatric endovascular thrombectomy programs and examine key design features in both care environments, including a formalized protocol and workflow, integration with an adult endovascular thrombectomy workflow, simplification and automation of workflow steps, pediatric adaptations of stroke imaging, advocacy of pediatric stroke care, and collaboration between providers, among others. These essential features transcend any single hospital environment and may provide an important foundation for other pediatric centers that aim to enhance the care of children with stroke.
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