Progress of mechanical thrombectomy in children with acute ischemic stroke
10.3760/cma.j.cn113694-20200802-00600
- VernacularTitle:儿童急性缺血性脑卒中机械取栓研究进展
- Author:
Zhengzhou YUAN
1
;
Yingchao HE
;
Zuoxiao LI
Author Information
1. 西南医科大学附属医院神经内科，四川泸州 646000
- From:
Chinese Journal of Neurology
2020;53(12):1068-1072
- CountryChina
- Language:Chinese
-
Abstract:
Mechanical thrombectomy is the most effective method for the treatment of adult acute ischemic stroke caused by occlusion of large blood vessels. Compared with traditional therapy, the curative effect is greatly improved. The evidence-based medicine evidence of the treatment is sufficient, and the efficacy is safe and reliable. Since 2015, it has been recommended by the guidelines of various countries. In 2018, the time window of mechanical thrombectomy has been extended from six hours to 24 hours, which benefits more adult patients with acute ischemic stroke. However, due to the lack of high-quality clinical research, there is no corresponding guide recommendation in children, which greatly limits its clinical application. There are some cases of mechanical thrombectomy in children and a few retrospective studies show that it is safe and effective in children in the world, but there are also some challenges. The article reviewed the challenges and implementation plan of thrombectomy in children to provide reference for clinical practice.
