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Mechanical thrombectomy for acute ischaemic stroke during the COVID-19 pandemic: changes to UK practice and lessons learned.
McConachie, D; McConachie, N; White, P; Crossley, R; Izzath, W.
  • McConachie D; School of Medicine, University of Leeds, UK.
  • McConachie N; Department of Neuroradiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, UK.
  • White P; Department of Neuroradiology, Royal Victoria Infirmary, Newcastle Upon Tyne Hospitals NHS Foundation Trust, UK.
  • Crossley R; Department of Neuroradiology, Southmead Hospital, North Bristol NHS Trust, UK.
  • Izzath W; Department of Neuroradiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, UK. Electronic address: wazim.izzath@nuh.nhs.uk.
Clin Radiol ; 75(10): 795.e7-795.e13, 2020 10.
Article in English | MEDLINE | ID: covidwho-643322
ABSTRACT

AIM:

To describe evolving practices in the provision of mechanical thrombectomy (MT) services across the UK during the COVID-19 pandemic, the responses of and impact on MT teams, and the effects on training. MATERIALS AND

METHODS:

The UK Neurointerventional Group (UKNG) and the British Society of Neuroradiologists (BSNR) sent out a national survey on 1 May 2020 to all 28 UK neuroscience centres that have the potential capability to perform MT.

RESULTS:

Responses were received from 27/28 MT-capable centres (96%). Three of the 27 centres do not currently provide MT services. There was a 27.7% reduction in MTs performed during April 2020 compared with the first 3 months of the year. All MT patients in 20/24 centres that responded were considered as COVID-19 suspicious/positive unless or until proven otherwise. Twenty-two of the 24 centres reported delays to the patient pathway. Seventeen of the 24 centres reported that the COVID-19 pandemic had reduced training opportunities for specialist registrars (SpR). Fourteen of the 24 centres reported that the pandemic had hampered their development plans for their local or regional MT service.

CONCLUSION:

The present survey has highlighted a trend of decreasing cases and delays in the patient pathway during the early stages of the COVID-19 pandemic across UK centres.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Brain Ischemia / Coronavirus Infections / Stroke / Pandemics / Mechanical Thrombolysis Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Radiol Year: 2020 Document Type: Article Affiliation country: J.crad.2020.07.001

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Brain Ischemia / Coronavirus Infections / Stroke / Pandemics / Mechanical Thrombolysis Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Radiol Year: 2020 Document Type: Article Affiliation country: J.crad.2020.07.001