Initial Stroke Thrombectomy Experience in New York City during the COVID-19 Pandemic
| Autor: | J Mocco, Kurt A. Yaeger, Trevor Hardigan, Tomoyoshi Shigematsu, Johanna T Fifi, Shahram Majidi, Travis R. Ladner, Georgios A Maragkos, B. Yim, C. Rossitto, Jacques Lara-Reyna |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Pneumonia Viral MEDLINE 030218 nuclear medicine & medical imaging Betacoronavirus 03 medical and health sciences 0302 clinical medicine Occlusion Pandemic Health care Humans Medicine Radiology Nuclear Medicine and imaging Pandemics Stroke Aged Retrospective Studies Thrombectomy Aged 80 and over Interventional SARS-CoV-2 business.industry Incidence (epidemiology) COVID-19 Retrospective cohort study Middle Aged medicine.disease Treatment Outcome Reperfusion Emergency medicine Female New York City Neurology (clinical) Coronavirus Infections business 030217 neurology & neurosurgery |
| Zdroj: | AJNR Am J Neuroradiol |
| ISSN: | 1936-959X 0195-6108 |
| DOI: | 10.3174/ajnr.a6652 |
| Popis: | New York City has become the global epicenter of the coronavirus 2019 (COVID-19) pandemic. Despite a massive shift in health care resources, cerebrovascular disease continues to be a substantial burden. We review the first 10 patients undergoing thrombectomy following a series of governmental and institutional policy changes diverting resources to the care of critically ill patients with COVID-19. Ten patients with emergent large-vessel occlusion underwent thrombectomy between March 23 and April 1, 2020. Five patients tested positive for the COVID-19 virus. Successful reperfusion was achieved in 9 of 10 patients, at a median time of 37 minutes from vascular access. The postprocedural NIHSS score improved by an average of 7.7 points. Of the 5 patients positive for COVID-19, none have experienced a critical respiratory illness. We report the early incidence of COVID-19 positivity in patients with emergent large-vessel occlusion and demonstrate that thrombectomy continues to be an efficacious option, as well as safe for health care providers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|