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We thank Dr Al-Mufti and the SNIS guidelines committee for their important work ‘Thrombectomy in special populations: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee1 ’. However, regarding the passage on thrombectomy in pediatric patients we think that the literature on which the recommendations are based should be updated. The authors cite two cases series, one consisting of seven patients2 and one of 23 pediatric patients3 who underwent thrombectomy. In both studies no long-term outcomes are reported and both studies do not report the Pediatric Stroke Outcome Measure (PSOM), an outcome parameter specific to the pediatric population. Moreover, Al-Mufti et al cite a meta-analysis mainly containing case reports.
On the other hand, the largest available retrospective multicenter cohort study, the Save ChildS Study including 73 patients from 27 stroke centers in Europe and the USA, is missing.4 In this study the rate of successful recanalization was high (modified Treatment in Cerebral Infarction (mTICI) ≥2b=87.4%) and the …
Contributors PBS: main author, planning, literature review, writing and revising manuscript. MNP: literature review, draft, revised manuscript. JF: literature review, draft, revised manuscript. MW: literature review, draft, revised manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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