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Published on: November 26, 2013
Protected Stroke Mechanical Thrombectomy Code During the Coronavirus (COVID-19) Pandemic: Southwestern Part of Saudi
Saeed A Alqahtani1, Ibrahim Alnaami2, Adel Alhazzani3
1Neurology, College of Medicine, King Khalid University, Abha, SAU.
Insights
This study shares experiences from Saudi Arabia on performing mechanical thrombectomy for acute ischemic stroke with large vessel occlusion during the COVID-19 pandemic. It offers guidance for safe and timely stroke care amidst global health crises.
Area of Science:
- Neurology
- Vascular Neurology
- Infectious Diseases
Background:
- Cerebrovascular diseases, particularly large vessel occlusion (LVO) strokes, are leading causes of death and disability globally.
- The COVID-19 pandemic created unprecedented challenges in delivering time-sensitive stroke care, including mechanical thrombectomy.
- Protecting healthcare workers and patients within medical facilities during the pandemic was a critical concern.
Purpose of the Study:
- To share local experiences and provide guidance on performing mechanical thrombectomy for acute ischemic stroke (AIS) with LVO during the COVID-19 pandemic.
- To outline strategies for ensuring safe, timely, and efficient endovascular intervention in a pandemic setting.
- To offer a framework applicable to similar future public health crises.
Main Methods:
- The study details the experience of a stroke unit at Aseer Central Hospital, a major stroke center and regional COVID center in Saudi Arabia.
- It describes the adaptation of protocols and workflows for mechanical thrombectomy procedures during the COVID-19 pandemic.
- The focus is on practical guidance for managing AIS patients with LVO while maintaining safety.
Main Results:
- The article presents practical insights and recommendations derived from managing LVO stroke cases during the COVID-19 pandemic.
- It highlights the successful adaptation of mechanical thrombectomy services under challenging pandemic conditions.
- The experience provides a basis for developing robust protocols for stroke care during infectious disease outbreaks.
Conclusions:
- Performing mechanical thrombectomy for LVO stroke is feasible and essential even during a pandemic like COVID-19.
- Implementing specific safety measures and adapting workflows are crucial for maintaining timely and effective stroke care.
- The shared experience offers valuable lessons for stroke centers globally facing similar public health emergencies.
Abstract:
Cerebrovascular diseases are a significant cause of mortality and morbidity worldwide, in particular those with large vessels occlusion (LVO). Coronavirus disease 2019 (COVID-19) has become a global crisis rapidly since its initial outbreak in Wuhan, China, in December, 2019. Stroke due to LVO needs rapid assessment and timely endovascular intervention which can be very challenging during the time of pandemic where you need to deliver proper, safe, and timely care to acute ischemic stroke (AIS) patients with LVO, yet, protecting healthcare workers and existing patients at the medical facility. In this article, we share our local experience in the stroke unit at Aseer Central Hospital which is the main hub of stroke patients in the southwestern part of Saudi Arabia and the primary regional COVID center to provide guidance to perform smooth, safe, and swift mechanical thrombectomy during the coronavirus (COVID-19) pandemic as well as possible similar future situations.
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