TY - JOUR
T1 - Pediatric Thrombectomy
T2 - Design and Workflow Lessons From Two Experienced Centers
AU - Lauzier, David C.
AU - Galardi, Maria M.
AU - Guilliams, Kristin P.
AU - Goyal, Manu S.
AU - Amlie-Lefond, Catherine
AU - Hallam, Danial K.
AU - Kansagra, Akash P.
N1 - Funding Information:
Dr Guilliams was supported by the National Institute for Neurological Disorders and Stroke: K23NS099472.
Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - 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.
AB - 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.
KW - environment
KW - hospitals
KW - ischemic stroke
KW - thrombectomy
KW - workflow
UR - http://www.scopus.com/inward/record.url?scp=85103474075&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.120.032268
DO - 10.1161/STROKEAHA.120.032268
M3 - Article
C2 - 33691502
AN - SCOPUS:85103474075
SN - 0039-2499
VL - 52
SP - 1511
EP - 1519
JO - Stroke
JF - Stroke
IS - 4
ER -