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Transcatheter aortic valve implantation amid the COVID-19 pandemic: a  nationwide analysis of the first COVID-19 wave in the Netherlands
CONCLUSIONS: During the COVID-19 pandemic, patient characteristics and outcomes after TAVI were not different than before the pandemic. This highlights the fact that TAVI procedures can be safely performed during the COVID-19 pandemic, without an increased risk of complications or mortality.PMID:35648264 | PMC:PMC9158307 | DOI:10.1007/s12471-022-01704-9
Source: Netherlands Heart Journal - June 1, 2022 Category: Cardiology Authors: M J P Rooijakkers W W L Li N A Stens M M Vis P A L Tonino L Timmers N M Van Mieghem P den Heijer S Kats P R Stella V Roolvink H W van der Werf M G Stoel C E Schotborgh G Amoroso F Porta F van der Kley M H van Wely H Gehlmann L A F M van Garsse G S C Geuze Source Type: research

Effects of an Infection Control Protocol for Coronavirus Disease in Emergency Mechanical Thrombectomy
CONCLUSION: The COVID-19 protection protocol significantly impacted the door-to-imaging time. Shortening the door-to-imaging time and performing the procedure under local anesthesia, if possible, may be required to reduce the door-to-puncture and doorto- recanalization times. The effect of various aspects of the protection protocol on emergency thrombectomy should be further studied.PMID:34879638 | DOI:10.3340/jkns.2021.0053
Source: Journal of Korean Neurosurgical Society - December 9, 2021 Category: Neurosurgery Authors: Jin Eun Min-Hyung Lee Sang-Hyuk Im Won-Il Joo Jae-Geun Ahn Do-Sung Yoo Hae-Kwan Park Source Type: research

Monitored anesthesia care during mechanical thrombectomy for stroke: need for data-driven and individualized decisions
Conclusions Our study showed that the overall rate of conversion from MAC to GA during MT was low (1.6%) and, while higher in posterior circulation strokes, it was not predicted by either hemispheric dominance or stroke severity. Caution should be given before changing clinical practice during moments of crisis.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Nogueira, R. G., Mohammaden, M. H., Moran, T. P., Whalin, M. K., Gershon, R. Y., Al-Bayati, A. R. R., Ratcliff, J., Pisani, L., Liberato, B., Bhatt, N., Frankel, M. R., Haussen, D. C. Tags: Ischemic stroke, COVID-19 Source Type: research

Bringing WISDOM to Breast Cancer Care
Dr. Laura Esserman answers the door of her bright yellow Victorian home in San Francisco’s Ashbury neighborhood with a phone at her ear. She’s wrapping up one of several meetings that day with her research team at University of California, San Francisco, where she heads the Carol Franc Buck Breast Care Center. She motions me in and reseats herself at a makeshift home office desk in her living room, sandwiched between a grand piano and set of enormous windows overlooking her front yard’s flower garden. It’s her remote base of operations when she’s not seeing patients or operating at the hospita...
Source: TIME: Health - October 22, 2021 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized Source Type: news

IJERPH, Vol. 18, Pages 9464: The Impact of the Pandemic on Acute Ischaemic Stroke Endovascular Treatment from a Multidisciplinary Perspective: A Nonsystematic Review
Conclusions: Adequate management of AIS patients requiring mechanical thrombectomy during the pandemic is of paramount importance to maximise the benefit of the endovascular procedure. MDT work and familiarity with NORA principles decrease the negative impact of the disease on the clinical outcomes for AIS patients.
Source: International Journal of Environmental Research and Public Health - September 8, 2021 Category: Environmental Health Authors: Grigonyte Kraujelyte Januskeviciute Semys Kriukelyte Kontrimaviciute Valeviciene Jatuzis Tags: Review Source Type: research

Pulmonary Embolism and Cardiac Tamponade in Critical Care Patients with COVID-19; Telemedicine's Role in Developing Countries: Case Reports and Literature Review
CONCLUSIONS: During admission, both patients had sudden deterioration characterized by oxygen desaturation and hypotension necessitating inotropic support. As a result, for both patients, bedside echocardiography was performed by the attending intensivist. Echocardiographic findings showed cardiac tamponade and acute pulmonary embolism, respectively, which were confirmed by a cardiologist through telemedicine technology. Proper emergency management was initiated, and both patients recovered well. Limited bedside transthoracic echocardiography had a front-line impact on the treatment and outcome of the two patients with COV...
Source: Pain Physician - August 2, 2021 Category: Anesthesiology Authors: Islam Mohammed Sheata Scott Richard Smith Heba Kamel Giustino Varrassi Farnad Imani Abdolreza Dayani Dariusz Myrcik Ivan Urits Omar Viswanath Sameh Salem Taha Source Type: research

Anesthetic Management of Acute Ischemic Stroke in the Interventional Neuro-Radiology Suite: State of the Art
Purpose of review This review discusses the general anesthetic approach of endovascular stroke therapy and highlights recent advances and considerations for optimal intraoperative management of acute ischemic stroke. Recent findings Recent randomized controlled trials have shown no differences in clinical outcomes between monitored anesthesia care with sedation compared with general anesthesia for endovascular stroke therapy. The COVID-19 pandemic has complicated decision-making in the neurointerventional setting. Advances in imaging techniques have extended the window of treatment for endovascular therapy. S...
Source: Current Opinion in Anaesthesiology - July 29, 2021 Category: Anesthesiology Tags: NON-OPERATING ROOM ANESTHESIA (NORA): Edited by Richard D. Urman Source Type: research

P-020 Process improvement with pre-tranfser intubation for patients undergoing mechanical thrombectomy; not just for the COVID pandemic
ConclusionAn established protocol of pre-transfer intubation is safe and feasible. Intubation prior to transfer does not negatively affect DIDO yet significantly decreases door to groin time at the CSC.Disclosures M. Stiefel: None. J. Strauss: None. J. Shapiro: None. S. Solomon: None. C. Lytle: None. T. Esdale: None. A. Schuette: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Stiefel, M., Strauss, J., Shapiro, J., Solomon, S., Lytle, C., Esdale, T., Schuette, A. Tags: Oral poster abstracts Source Type: research

Management of Endovascular Treatment for Acute Ischemic Stroke During the COVID-19 Pandemic at a Single Institution in Beijing, China: A Brief Report
Background: The coronavirus disease (COVID-19) pandemic is currently a major challenge for health care systems around the world. For a time-sensitive emergency such as acute ischemic stroke (AIS), streamlined workflow times are essential to ensure good clinical outcomes. Methods: The aim of this single-center, retrospective, observational study was to describe changes in stroke workflow patterns and clinical care during the COVID-19 pandemic. Data from AIS patients undergoing emergent endovascular treatment (EVT) between 23 January and 8 April 2020 were retrospectively collected and compared with data from patie...
Source: Journal of Neurosurgical Anesthesiology - June 18, 2021 Category: Anesthesiology Tags: Short Reports Source Type: research

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