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In “Hyperacute Perfusion Imaging Before Pediatric Thrombectomy: Analysis of the Save ChildS Study,” Lee et al. reported the use of perfusion imaging in 15 children who underwent thrombectomy for acute stroke. The authors found that perfusion imaging did not delay time from symptom onset to recanalization. Siegler and Nguyen questioned whether there was any difference from arrival time to groin puncture or recanalization. They also noted that based on guidance from the American Heart Association and the Society of Vascular and Interventional Neurology, perfusion imaging may not be necessary in pediatric patients who present <6 hours after symptom onset. Lee responded that the use of perfusion imaging did not affect time from arrival to recanalization; however, the time of groin puncture was not recorded. The author also noted that there is a need for additional research on prethrombectomy imaging in pediatric patients, including the use of perfusion imaging, the selection between CT and magnetic resonance imaging, and the optimal Alberta Stroke Program Early CT (ASPECT) score.
In “Hyperacute Perfusion Imaging Before Pediatric Thrombectomy: Analysis of the Save ChildS Study,” Lee et al. reported the use of perfusion imaging in 15 children who underwent thrombectomy for acute stroke. The authors found that perfusion imaging did not delay time from symptom onset to recanalization. Siegler and Nguyen questioned whether there was any difference from arrival time to groin puncture or recanalization. They also noted that based on guidance from the American Heart Association and the Society of Vascular and Interventional Neurology, perfusion imaging may not be necessary in pediatric patients who present <6 hours after symptom onset. Lee responded that the use of perfusion imaging did not affect time from arrival to recanalization; however, the time of groin puncture was not recorded. The author also noted that there is a need for additional research on prethrombectomy imaging in pediatric patients, including the use of perfusion imaging, the selection between CT and magnetic resonance imaging, and the optimal Alberta Stroke Program Early CT (ASPECT) score.
Footnotes
Author disclosures are available upon request (journal{at}neurology.org).
- Received March 3, 2023.
- Accepted in final form March 3, 2023.
- © 2023 American Academy of Neurology
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