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Mechanical Thrombectomy Outcomes in COVID-19 Patients With Acute Ischemic Stroke: A Narrative Review

Hadil Zureigat1, Muna Alhusban1, Miles Cobia2

  • 1School of Medicine, University of Jordan, Amman, Jordan.

The Neurologist
|November 4, 2021
PubMed

Insights

Mechanical thrombectomy (MT) for large-vessel occlusive (LVO) stroke in COVID-19 patients is associated with poorer outcomes. This review highlights challenges and negative impacts of COVID-19 on stroke patients undergoing MT.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Interventional Cardiology

Background:

  • Coronavirus disease 2019 (COVID-19) increases thromboembolic event risk.
  • Mechanical thrombectomy (MT) is a standard treatment for large-vessel occlusive (LVO) stroke.
  • MT has been applied to stroke patients with COVID-19.

Purpose of the Study:

  • To review outcomes of MT in COVID-19 patients with LVO stroke.
  • To describe patient characteristics and stroke features in this population.
  • To identify COVID-19-specific challenges in MT management.

Main Methods:

  • Narrative review of published studies (March 2020 - February 2021).
  • Analysis of patient characteristics, risk factors, and COVID-19 severity.
  • Evaluation of stroke features and thrombectomy success rates.

Main Results:

  • Evidence suggests poorer outcomes post-MT for COVID-19 patients.
  • LVO in COVID-19 patients may present with distinguishing, challenging characteristics.
  • Thrombectomy success data in this cohort is presented.

Conclusions:

  • COVID-19 negatively impacts outcomes for acute ischemic stroke patients receiving MT.
  • The long-term prognosis of stroke patients post-MT with COVID-19 remains undetermined.
  • Clinicians should be aware of COVID-19-specific post-MT challenges.
Abstract

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