Reperfusion Therapies for Children With Arterial Ischemic Stroke.

Jeremy J Heit, Prakash Muthusami, Ronil V Chandra, Ferdinand Hui, Matias Negrotto, Sarah Lee, Bruce A Wasserman, Todd A Abruzzo
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引用次数: 4

Abstract

Abstract: Modern hyperacute reperfusion therapies including intravenous thrombolysis and mechanical thrombectomy have transformed the management of arterial ischemic stroke (AIS) in adults. Multiple randomized clinical trials have demonstrated that these therapies enable remarkable improvements in clinical outcome for properly selected patients with AIS. Because pediatric patients were excluded from predicate clinical trials, there is a conspicuous lack of data to guide selection of therapies and inform age-adjusted and pathology-oriented treatment modifications for children. Specifically, technical guidance concerning treatment eligibility, drug dosing, and device implementation is lacking. This review aims to outline important features that differentiate pediatric AIS from adult AIS and provide practical strategies that will assist the stroke specialist with therapeutic decision making.

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儿童动脉缺血性脑卒中再灌注治疗。
摘要:包括静脉溶栓和机械取栓在内的现代超急性再灌注治疗已经改变了成人动脉缺血性卒中(AIS)的治疗方式。多个随机临床试验表明,这些疗法能够显著改善适当选择的AIS患者的临床结果。由于儿科患者被排除在谓词临床试验之外,因此明显缺乏指导治疗方法选择的数据,以及为儿童调整年龄和病理导向的治疗修改提供信息。具体而言,缺乏有关治疗资格、药物剂量和设备实施的技术指导。本综述旨在概述区分儿童AIS与成人AIS的重要特征,并提供实用的策略,以帮助卒中专家做出治疗决策。
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来源期刊
Topics in Magnetic Resonance Imaging
Topics in Magnetic Resonance Imaging Medicine-Medicine (all)
CiteScore
5.50
自引率
0.00%
发文量
24
期刊介绍: Topics in Magnetic Resonance Imaging is a leading information resource for professionals in the MRI community. This publication supplies authoritative, up-to-the-minute coverage of technical advances in this evolving field as well as practical, hands-on guidance from leading experts. Six times a year, TMRI focuses on a single timely topic of interest to radiologists. These topical issues present a variety of perspectives from top radiological authorities to provide an in-depth understanding of how MRI is being used in each area.
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