Mallinckrodt Institute of Radiology (D.C.L., M.S.G., A.P.K.), Washington University School of Medicine, St Louis, MO.
Department of Neurology (M.M.G., K.P.G., M.S.G., A.P.K.), Washington University School of Medicine, St Louis, MO.
Stroke. 2021 Apr;52(4):1511-1519. doi: 10.1161/STROKEAHA.120.032268. Epub 2021 Mar 11.
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.
血管内血栓切除术在推进成人脑卒中治疗方面发挥了重要作用，在儿科脑卒中治疗中可能也具有类似作用。然而，儿科脑卒中治疗需要更好的证据和基础设施。在这项工作中，我们回顾了 2 个有经验的儿科血管内血栓切除术项目，并研究了这 2 个护理环境中的关键设计特征，包括规范化的方案和工作流程、与成人血管内血栓切除术工作流程的整合、工作流程步骤的简化和自动化、脑卒中影像学的儿科适应性、对儿科脑卒中治疗的倡导以及提供者之间的合作等。这些基本特征超越了任何单一的医院环境，可能为其他旨在加强儿童脑卒中治疗的儿科中心提供重要基础。
