Changes in Neuroendovascular Procedural Volume During the COVID‐19 Pandemic: An International Multicenter Study

Autor: Naveed Akhtar, Mikayel Grigoryan, Jun Lee, Vishal Jani, Farhan Siddiq, Camilo R Gomez, Adnan I Qureshi, Samiat Agunbiade, Emrah Aytaç, Ossama Mansour, Ameer E Hassan, Ferhat Balgetir, Iryna Lobanova, Rakesh Khatri, Gustavo J. Rodriguez, Fawaz Al-Mufti, Wondwossen G Tekle, Adam Kobayashi, Iqra N Akhtar, Alberto Maud, Michael G. Abraham, Michel Piotin, Osman Kozak, M. Fareed K. Suri, Mikael Mazighi, Liqun Jiao, Wei Huang, Jawad F. Kirmani, Nazli Janjua
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Intracranial Arteriovenous Malformations
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
Clinical Neurology
Volume change
Asymptomatic
030218 nuclear medicine & medical imaging
mechanical thrombectomy
03 medical and health sciences
0302 clinical medicine
COVID‐19
Angioplasty
neuroendovascular procedures
medicine
Humans
Volume reduction
Radiology
Nuclear Medicine and imaging
corona virus
Endovascular treatment
Pandemics
Ischemic Stroke
Thrombectomy
business.industry
Endovascular Procedures
COVID-19
Intracranial Aneurysm
carotid stent
Cerebral Angiography
Surgery
Mechanical thrombectomy
Treatment Outcome
Multicenter study
Clinical Investigative Study
Radiology Nuclear Medicine and imaging
Stents
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Zdroj: Journal of Neuroimaging
ISSN: 1552-6569
1051-2284
DOI: 10.1111/jon.12803
Popis: BACKGROUND AND PURPOSE The effect of coronavirus disease 2019 (COVID‐19) pandemic on performance of neuroendovascular procedures has not been quantified. METHODS We performed an audit of performance of neuroendovascular procedures at 18 institutions (seven countries) for two periods; January‐April 2019 and 2020, to identify changes in various core procedures. We divided the region where the hospital was located based on the median value of total number of COVID‐19 cases per 100,00 population‐into high and low prevalent regions. RESULTS Between 2019 and 2020, there was a reduction in number of cerebral angiograms (30.9% reduction), mechanical thrombectomy (8% reduction), carotid artery stent placement for symptomatic (22.7% reduction) and asymptomatic (43.4% reduction) stenoses, intracranial angioplasty and/or stent placement (45% reduction), and endovascular treatment of unruptured intracranial aneurysms (44.6% reduction) and ruptured (22.9% reduction) and unruptured brain arteriovenous malformations (66.4% reduction). There was an increase in the treatment of ruptured intracranial aneurysms (10% increase) and other neuroendovascular procedures (34.9% increase). There was no relationship between procedural volume change and intuitional location in high or low COVID‐19 prevalent regions. The procedural volume reduction was mainly observed in March‐April 2020. CONCLUSIONS We provided an international multicenter view of changes in neuroendovascular practices to better understand the gaps in provision of care and identify individual procedures, which are susceptible to change.
Databáze: OpenAIRE
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