Visions of the End

Apocalyptic Traditions in the Middle Ages

Bibliographic Data

ID4371672
AuthorsTamara Curnow (Saint Martin's University, corresponding author)
Year2000
Volume30
Issue1
Pages105-107
Publication date2000-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueReligion (JOURNAL)
Journal identifiersISSN: 0048-721X • E-ISSN: 1096-1151
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1006/reli.1999.0226
OpenAlexW2060758786
LanguageEN
Citations received11

Like adults, most children have lifelong morbidity after stroke. Revascularization therapies such as intravenous tissue plasminogen activator and mechanical thrombectomy may be options to decrease this morbidity in selected children, although currently there are no evidence-based recommendations to guide treatment. The utility and safety of mechanical thrombectomy in childhood stroke is unknown because of the lack of safety trials, case-controlled trials, and comprehensive retrospective studies. As such, the current rationale for the use of mechanical thrombectomy in childhood is based on extrapolation from adult experience, as well as consensus at individual institutions with many centers deciding care on a case-by-case basis. Nevertheless, the increasing use of recanalization therapies in appropriately selected adults with acute arterial ischemic stroke has led to an increase in consideration and use in childhood, and there are enough case reports and series, as well as experience, to suggest that some children with large vessel occlusion will likely benefit.We reviewed current literature regarding mechanical thrombectomy in childhood.There are differences between pediatric and adult stroke which may impact safety, efficacy, and individual decision-making, including patient size, pathophysiology of stroke, deficit, experience, and lack of data regarding natural history of stroke in children.Hospitals planning to perform mechanical thrombectomy in children should establish local procedures and guidelines for considering thrombectomy. In our experience, care is best provided through multidisciplinary teams including a pediatric vascular neurologist, neurointerventionalist with pediatric experience, and pediatric neurocritical care

Clinical trial · Intensive care medicine · Ischemia · Ischemic stroke · Neurointensive care · Pediatric stroke · Physical therapy · Psychiatry · Revascularization · Stroke (engine) · Acute Ischemic Stroke Management · Blood Coagulation and Thrombosis Mechanisms · Internal Medicine · Medicine · Vascular Malformations Diagnosis and Treatment · Pediatrics

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