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.

Cureus
|May 1, 2020
PubMed

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.