Is thrombectomy an option in children with stroke?

Patients showed lower neurological deficit post-procedure, but 'safety concerns remain unanswered'
Reuters Health
Child being pushed rapidly in hospital bed

Endovascular recanalisation is feasible and can provide favourable neurological outcomes in childhood stroke, a study suggests.

German researchers led the retrospective study of 73 children (median age 11) with stroke, treated with the procedure in 27 stroke centres in Europe and the US.

Angiographical outcome in the cohort, known as Save ChildS, was good in 62 of 71 patients (87%) and poor in nine (13%), the researchers reported in JAMA Neurology.

Most children showed lower neurological deficit after thrombectomy, with an improvement in Pediatric NIH Stroke Scale scores from a median of 14 (out of a maximum 34) on admission to a median of 5 at 12-24 hours after thrombectomy, and then 4 at day 7.