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Effects of the COVID-19 pandemic on stroke response times: a systematic review and meta-analysis
Conclusions Factors during COVID-19 resulted in significantly delayed LKW and DTR, and mild delays in DTI, DTN, and DTG. CSCs experience more pronounced delays than non-CSCs.
Source: Journal of NeuroInterventional Surgery - June 16, 2022 Category: Neurosurgery Authors: Nawabi, N. L. A., Duey, A. H., Kilgallon, J. L., Jessurun, C., Doucette, J., Mekary, R. A., Aziz-Sultan, M. A. Tags: Editor''s choice, COVID-19 The pandemic and neurointervention Source Type: research

032 Improving access to inpatient ambulatory cardiac monitoring for acute stroke patients during the Covid-19 pandemic
Discussion There was a significant shift in clinical practice and diagnostic access to inpatient ACM during the pandemic, resulting in a greater proportion of tests, increased identification of AF and early anticoagulation, leading to improved patient care and potentially preventing further ischaemic events. harriet jeffery@nhs.net|ABN Bursary 41
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 27, 2022 Category: Neurosurgery Authors: Jeffery, H., Sanz, E. R., Turner, D. Tags: Live Poster, 6 May SIG4: Movement Disorders Source Type: research

Implementing the SNIS recommendations for neurointerventional emergent care in the setting of COVID-19: impact on stroke metrics and patient outcomes
Conclusions The COVID-19 pandemic did not significantly affect stroke admission volume or acute stroke treatment utilization. Outcomes were not affected by implementing SNIS guidelines. Although there was a statistical increase in time to groin puncture for ET, it was not clinically meaningful. These results suggest hospitals managing patients efficiently can implement practices in response to COVID-19 without impacting outcomes.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Atchie, B., Jarvis, S., Stoddard, E., Salottolo, K., Nieberlein, A., McCarthy, K., Bartt, R., Bennett, A., Burrell, C., Frei, D., Bar-Or, D. Tags: Open access, COVID-19 The pandemic and neurointervention Source Type: research

Three-month functional outcomes following endovascular thrombectomy during the first wave of the COVID-19 pandemic: a Canadian single-center cohort study
Conclusion In this single-center cohort study conducted in a Canadian pandemic epicenter, the first 6 months of the COVID-19 pandemic did not impact 90-day functional outcomes or death among EVT-treated patients.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Neves Briard, J., Dufort, G., Jacquin, G., Alesefir, W., Bereznyakova, O., Boisseau, W., Daneault, N., Deschaintre, Y., Diestro, J. D. B., Ducroux, C., Eneling, J., Gioia, L., Iancu, D. E., Odier, C., Raymond, J., Roy, D., Stapf, C., Weill, A., Poppe, A. Tags: COVID-19 The pandemic and neurointervention Source Type: research

Endovascular thrombectomy time metrics in the era of COVID-19: observations from the Society of Vascular and Interventional Neurology Multicenter Collaboration
Conclusions In this multi-center study, there was no delay in EVT among patients treated for intracranial occlusion during the COVID-19 era compared with the pre-COVID era.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Czap, A. L., Zha, A. M., Sebaugh, J., Hassan, A. E., Shulman, J. G., Abdalkader, M., Nguyen, T. N., Linfante, I., Starosciak, A. K., Ortega-Gutierrez, S., Farooqui, M., Quispe-Orozco, D., Vora, N. A., Rai, V., Nogueira, R. G., Haussen, D. C., Jillella, D. Tags: Ischemic stroke, COVID-19 Source Type: research

Change is everything
As we endure another winter surge of the coronavirus, I reflect on what we’ve learnt about the pandemic and its impact on our field. Many important trends were published and debated on the pages of JNIS.1–3 These include the global decline in the presentation of patients with stroke, unique challenges in the triaging of emergently ill patients with cerebrovascular disease, workplace fatigue and burnout among interventional surgeons and support staff and, most disturbingly, disparities in mechanical thrombectomy (MT) rates in our minority communities. In their prospective analysis of the Stroke Thrombectomy and ...
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Albuquerque, F. C. Tags: Editor ' s column 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

COVID-19 meets neurointervention on the pages of JNIS
As 2019 came to a close, a novel B-coronavirus, labeled by the World Health Organization as COVID-19, was noted to be spreading in China.1 The COVID-19 virus is an enveloped single-strand, positive-sense RNA, which means that the virus can use its RNA as the template from which to create proteins needed for propagation and, ultimately, spread. The name coronavirus refers to the characteristic crown-like appearance of these viruses that is seen on electron microscopy. By spring 2020, COVID-19 was spreading rapidly throughout the United States and Europe, and neurointerventionalists soon found themselves on the frontline.2 T...
Source: Journal of NeuroInterventional Surgery - September 15, 2021 Category: Neurosurgery Authors: Milburn, J. M., Regenhardt, R. W., Fiehler, J., Fargen, K. M., Hirsch, J. A. Tags: COVID-19 Commentary Source Type: research

EP38* Single center experience utilizing a novel augmented reality platform to teleproctor a neuroendovascular fellow
ConclusionsThis study demonstrates successful use of an augmented reality tele-proctoring platform in a fellowship training paradigm.ReferencesBechstein M, Elsheik S, Wodarg F, et al. Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic. BMJ Case Rep 2020 Oct 4;13(10):e016722.Bechstein M, Buhk JH, Frolich AM, et al. Training and supervision of thrombectomy by remote live streaming support (RESS): randomized comparison using simulated stroke interventions. Clin Neuroradiol 2019 Dec 20.Goel SS, Greenbaum AB, Pa...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Hassan, A., Desai, S., Georgiadis, A., Tekle, W. Tags: Logistics Source Type: research

EP39* Collateral damages of COVID-19 on the hungarian ischemic stroke care
ConclusionsCollateral damages of the COVID-19 outbreak on the Hungarian IS care system were demonstrated. The disproportionally greater decline of IS admission numbers could partially be explained by the effect of health emergency operative measures. Further studies are needed to evaluate the causes of our observations.ReferencesBersano A, Kraemer M, Touzé E, Weber R, Alamowitch S, Sibon I, et al. Stroke care during the COVID-19 pandemic: experience from three large European countries. Eur J Neurol 2020;27(9):1794–800. https://doi.org/10.1111/ene.14375Böjti PP, Stang R, Gunda B, Sipos I, Bereczki D. A ...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Böjti, P., Szilagyi, G., Dobi, B., Stang, R., Szikora, I., Kis, B., Kornfeld, A., Ovary, C., Eross, L., Banczerowski, P., Kuczynski, W., Bereczki, D. Tags: Logistics Source Type: research

EP40 Teleproctoring in neurointerventionism
6 cases of neurovascular treatment with remote assistance are presented. various techniques (zoom, smart glasses and hospital internal system) 2 aneurysm treatments with flow diversion are presented. 1 case with web device. and 3 cases of stroke.All cases occurred during the covid 19 pandemic.Multiple tests were carried out during the simulation courses. Evaluating communication in real time. mastery of the images and mastery of the software.ReferenceBechstein M, et al. Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVI...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Pabon, B., Torres, V., Patino, M., Serna, N., Vargas, O., Estrada, C., Pelaez, J., Mejia, J. Tags: Logistics Source Type: research

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