Examining the feasibility of hyperacute perfusion imaging in children with ischemic stroke

  • It is not known whether perfusion imaging prior to thrombectomy can be performed effectively in pediatric stroke. In a secondary analysis of children with stroke, median time to recanalization was similar in those who did (n=15) and did not (n=18) undergo perfusion imaging prior to thrombectomy (P=0.158).
  • Two thirds of patients (10/15) met the target mismatch criteria. Those with a favorable hypoperfusion intensity ratio (11/15) had improved functional outcomes at 6 months.
  • According to the authors, it is feasible to obtain hyperacute automated perfusion imaging in children without delaying time to treatment. This might help to identify young patients with salvageable brain tissue who are most likely to benefit from thrombectomy.