RT期刊文章SR电子T1栓子切除术临床扩散不匹配选择儿科患者卒中后6到24小时摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP e343 OP e351 10.1212 / WNL。首页96签证官000000188金宝慱官网下载0000011107是3 A1彼得·b·斯波恩A1 Marios-Nikos Psychogios A1罗纳德·Straeter A1 Uta汉宁A1 Jens Minnerup A1 Rene Chapot A1汉斯henk A1依琳娜henk A1阿斯特丽德克A1 Franziska多恩A1 Omid Nikoubashman A1马丁Wiesmann A1 Georg棺材A1 Anushe韦伯A1 Gabriel Broocks A1 Jens Fiehler A1亚历克斯Brehm A1丹尼尔·凯瑟A1 Umut Yilmaz A1 Andrea Morotti A1沃尔夫冈Marik A1理查德Nolz A1 Ulf Jensen-Kondering A1迈克尔布劳恩A1 Stefan Schob A1奥利弗Beuing A1弗里德里希Goetz A1 Johannes Trenkler A1 Bernd Turowski A1马库斯Mohlenbruch A1克里斯蒂娜Wendl A1彼得·施拉姆A1帕特里夏·l·Musolino A1莎拉李A1 Marc Schlamann A1亚历山大Radbruch A1安德烈Karch A1妮可Rubsamen A1莫里茨Wildgruber A1安德烈Kemmling A1拯救孩子的调查人员年2021 UL //www.ez-admanager.com/content/96/3/e343.abstract AB目的确定血栓切除术是安全的儿童后24小时内出现症状时选择临床赤字和梗塞之间的不匹配。首页方法的二次分析保存孩子的研究(2000年1月- 2018年12月)进行,包括所有儿科患者(< 18年)诊断为27例接受血管内再通动脉缺血性中风的欧洲和美国中风中心。患者包括如果他们有相关临床赤字和梗塞之间的不匹配。结果20个孩子年龄中位数为10.5(四分位范围(差)7 - 14.6)年。其中,7是男性(35%),从发病到血栓切除术的平均时间为9.8小时(IQR 7.8 - -16.2)。神经结果改进从儿科NIH卒中量表得分中值为12.0 (IQR 8.8 - -20.3) 2.0进入第七天(IQR 1.2 - -6.8)。改良Rankin规模(夫人)得分中位数为1.0(差0 - 1.6)3个月和0.0(差0 - 1.0)24个月。一个病人发达瞬态peri-interventional血管痉挛;没有观察到其他并发症。比较分数的分数夫人夫人的黎明和化解3试验显示更高比例的好的结果在儿童与成人人口研究。Conclusions Thrombectomy in pediatric ischemic stroke in an extended time window of up to 24 hours after onset of symptoms seems safe and neurologic outcomes are generally good if patients are selected by a mismatch between clinical deficit and infarct.Classification of Evidence This study provides Class IV evidence that for children with acute ischemic stroke with a mismatch between clinical deficit and infarct size, thrombectomy is safe.AIS=arterial ischemic stroke; ASPECTS=Alberta Stroke Program Early CT Score; DAWN=DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo; DEFUSE 3=Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke; eTICI=expanded Treatment in Cerebral Infarction; IQR=interquartile range; LVO=large vessel occlusion; mRS=modified Rankin Scale; PedNIHSS=Pediatric NIH Stroke Scale; PSOM=Pediatric Stroke Outcome Measure