血管内介入治疗儿童脑血管病的临床进展与思考OA北大核心CSCDCSTPCD

Pediatric cerebrovascular disease(CVD)refers to a large group of diseases affecting blood vessels in brain and spinal cord of children.In recent years,there are growing attention and numerous reports on endovascular therapy(EVT)for pediatric CVD with mounting evidence demonstrating its feasibility and safety.However,there is still an acute lack of guidelines or standards for EVT in children to guide patient selection,neurointerventional material selection,surgical techniques and postoperative cares.Due to unique characteristics of pediatric population,such as smaller and more fragile blood vessels and differing causes of pediatric CVD from adults,pediatric neurosurgeons and neurointerventionists must consider differences in neurovascular char-acteristics,concurrent diseases,collateral vessels imaging parameters and expected outcomes.These factors may affect appropriate patient selection and surgical timing.This review summarized the latest developments in EVT for pediatric CVD through a literature review and mutiple years of experience in treating CVD.Most CVD chil-dren may benefit through establishing regional pediatric stroke teams,screening suitable pediatric patients and formulating definite treatment guidelines or standards.