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Stroke Thrombectomy in Patients with COVID-19: Initial Experience in 13 Cases

R Pop1,2, A Hasiu3, F Bolognini4

  • 1From the Interventional Neuroradiology Department (R.P., A.H., D.M., R.B.) pop.raoul@gmail.com.

AJNR. American Journal of Neuroradiology
|August 21, 2020
PubMed

Insights

Mechanical thrombectomy for ischemic stroke during the COVID-19 pandemic was associated with increased mortality and thrombotic complications. Full personal protection measures are recommended for healthcare providers treating these patients.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic impacted healthcare delivery globally.
  • Early pandemic phases saw unique challenges in managing acute conditions like ischemic stroke.
  • Comprehensive stroke units faced a surge in patients with COVID-19 requiring advanced interventions.

Purpose of the Study:

  • To evaluate outcomes of mechanical thrombectomy in ischemic stroke patients with COVID-19.
  • To assess the incidence of thrombotic complications and mortality in this patient cohort.
  • To determine the necessity of enhanced personal protection measures.

Main Methods:

  • Retrospective review of patients undergoing mechanical thrombectomy for ischemic stroke.
  • Inclusion criteria: confirmed COVID-19 diagnosis during the early pandemic period (March 1 - April 26, 2020).
  • Data collected on patient outcomes, thrombotic complications, and mortality.

Main Results:

  • 13 cases of ischemic stroke with COVID-19 undergoing mechanical thrombectomy were identified.
  • These cases represented 38.2% of all thrombectomies performed during the study period.
  • A high incidence of thrombotic complications and increased mortality was observed during hospitalization.

Conclusions:

  • Mechanical thrombectomy in COVID-19 patients with ischemic stroke is associated with significant risks.
  • Increased mortality and thrombotic events highlight the severity of the condition in this population.
  • Systematic implementation of full personal protection measures is strongly advised for healthcare professionals.

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