Your browser doesn't support javascript.
Management of Acute Ischemic Stroke in the Interventional Neuroradiology Suite During the COVID-19 Pandemic: A Global Survey.
Chowdhury, Tumul; Rizk, Abanoub A; Daniels, Abigail H; Al Azazi, Emad; Sharma, Deepak; Venkatraghavan, Lashmi.
  • Chowdhury T; Department of Anesthesia and Pain, Toronto Western Hospital, University Health Network, Toronto.
  • Rizk AA; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
  • Daniels AH; Department of Anesthesia and Pain, Toronto Western Hospital, University Health Network, Toronto.
  • Al Azazi E; Department of Anesthesia and Pain, Toronto Western Hospital, University Health Network, Toronto.
  • Sharma D; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA.
  • Venkatraghavan L; Department of Anesthesia and Pain, Toronto Western Hospital, University Health Network, Toronto.
J Neurosurg Anesthesiol ; 33(1): 44-50, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-851905
ABSTRACT

BACKGROUND:

According to early reports, patients affected by coronavirus disease 2019 (COVID-19) are at an increased risk of developing cerebrovascular events, including acute ischemic stroke (AIS). The COVID-19 pandemic may also impose difficulties in managing AIS patients undergoing endovascular thrombectomy (EVT), as well as concerns for the safety of health care providers. This international global survey aims to gather and summarize information from tertiary care stroke centers on periprocedural pathways and endovascular management of AIS patients during the COVID-19 pandemic.

METHODS:

A cross-sectional survey-based research questionnaire was sent to 259 tertiary care stroke centers with neurointerventional facilities worldwide.

RESULTS:

We received 114 responses (response rate 44%) from 25 different countries across all 5 continents. The number of AIS patients and EVT cases were reported to have decreased during the pandemic. Most participants reported conducting COVID-19 testing before (49%) or after the procedure (31%); 20% of centers did not test at all. Only 16% of participating centers reported using a negative pressure room for the thrombectomy procedure. Strikingly, 50% of participating centers reported no changes in the anesthetic management of AIS patients undergoing EVT during the pandemic.

CONCLUSIONS:

This global survey provides information on the challenges in managing AIS patients undergoing EVT during the COVID-19 pandemic. Its findings can be used to improve patient outcomes and the safety of the health care team worldwide.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / Ischemic Stroke / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Neurosurg Anesthesiol Journal subject: Anesthesiology / Neurosurgery Year: 2021 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / Ischemic Stroke / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Neurosurg Anesthesiol Journal subject: Anesthesiology / Neurosurgery Year: 2021 Document Type: Article