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E-086 The effect of covid-19 vaccines on stroke outcomes: a single-center study
ConclusionAlthough vaccination did not show any significant difference in stroke patient outcomes on follow-up, vaccines were associated with lower rates of morbidity and mortality at discharge among stroke patients during the pandemic.Abstract E-086 Table 1Comparison of outcomes between COVID-19-positive unvaccinated vs. fully vaccinated patients presenting with stroke.*Adjusted for hypertension, atrial fibrillation, PVD, admission NIHSS, ASPECTS, tandem occlusion, and thrombectomy Unvaccinated Vaccinated Effect Variable Unadjusted Value (95% CI ) Unadjusted p-value Adjusted Value (95% CI )* Adjusted p-value* Primary Out...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: El Naamani, K., Amllay, A., Chen, C., Capone, S., Abbas, R., Sioutas, G., Munoz, A., Yudkoff, C., Carreras, A., Samabngi, A., Hunt, A., Jain, P., Stine, E., Sathe, A., Smit, R., Yazbeck, F., Tjoumakaris, S., Gooch, M., Herial, N., Rosenwasser, R., Zarzour Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-129 Trends in demographic and geographic disparities of stroke-related mortality in older adults in the United States from 1999 to 2020
Stroke is a leading cause of mortality and morbidity in the United States. Many risk factors are controversial, and their relative importance is not fully understood. Elucidating the association between demographic and geographic disparities and stroke-related mortality in older adults will guide policy to alleviate stroke burden. This retrospective cohort study characterizes stroke-related mortality among individuals aged 55 and older in the United States from January 1999 to December 2020 using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database. Segmented regressio...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: McCandless, M., Powers, A., Baker, K., Strickland, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

P-028 Impact of the covid-19 pandemic on the intracranial aneurysm treatment and associated outcomes: a propensity score matching study
Conclusions and RelevanceThe COVID-19 pandemic has significantly impacted the healthcare system and has led to changes in the treatment of various neurological conditions, including ICAs. The pandemic resulted in a shift in the treatment of SAH and an increase in endovascular procedures over open surgical clipping. COVID-19 infection has been associated with an increased risk of ischemic stroke and worsened outcomes for stroke patients. Further research is necessary to understand the long-term effects of the pandemic on the healthcare system and patient outcomes.Disclosures A. Ghaith: None. M. Ghanem: None. E. Greco: None....
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Ghaith, A., Ghanem, M., Greco, E., Rios-Zermeno, J., Bon Nieves, A., Kashyap, S., Tawk, R., Bydon, M. Tags: SNIS 20th annual meeting oral poster abstracts Source Type: research

E-069 Covid-19 and mechanical thrombectomy: confounder or contributor
ConclusionLate in the pandemic, mortality rates remain very high for patients with COVID-19 undergoing mechanical thrombectomy. This is significant in that later circulating variants appear to cause less severe disease.Disclosures C. Houk: None. N. Ellens: None. G. Kohli: None. D. Schartz: None. D. Proper: None. T. Bhalla: None. M. Bender: None. T. Mattingly: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Houk, C., Ellens, N., Kohli, G., Schartz, D., Proper, D., Bhalla, T., Bender, M., Mattingly, T. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up
Conclusion During the first year of the pandemic, there was a decrease in aSAH admissions volume, driven by a decrease in mild to moderate presentation of aSAH. There was an increase in the ruptured aneurysm coiling rate but neither change in the ruptured aneurysm clipping rate nor change in aSAH in-hospital mortality. Trial registration number NCT04934020.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 14, 2022 Category: Neurosurgery Authors: SVIN COVID-19 Global SAH Registry, Nguyen, Qureshi, Klein, Yamagami, Mikulik, Etminan, Abdalkader, Mansour, Czlonkowska, Lo, Sathya, Demeestere, Tsivgoulis, Sakai, Sedova, Kristoffersen, Mohammaden, Lereis, Scollo, Ma, Rahman, Bonnet, Cortier, Raedt, Lemm Tags: Editor's choice, COVID-19 Cerebrovascular disease Source Type: research

O13 School of thrombectomy - a 3-step approach to perform acute stroke treatment with simulator training and virtual supervision by remote streaming support (RESS)
ConclusionsThe 3-step approach increases the level of safety, as reported by the trainees and supervisor in this study, and may enable an accelerated training of neurointerventionalists.ReferencesKreiser K, Ströber L, Gehling KG, Schneider F, Kohlbecher S, Schulz CM, et al. Simulation Training in Neuroangiography—Validation and Effectiveness. Clinical Neuroradiology. 2021;31(2):465–73.Martínez-Galdámez M, Fernández JG, Arteaga MS, Pérez-Sánchez L, Arenillas JF, Rodríguez-Arias C, et al. Smart Glasses Evaluation during the Covid-19 Pandemic: First-use on Neuroint...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Dorn, F., Lehnen, N., Lagkomi, A., Schievelkamp, A., Bode, F., Radbruch, A., Paech, D. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research

P53 ESMINT/EYMINT E-fellowship - experiences from two seasons and implications for future neurointerventional tele-observerships
ConclusionsTele-observerships may facilitate location-independent training of complex neurointerventional procedures through high levels of situational awareness. Future programs will have to incorporate individual training schedules to enable fellows to better attend complex elective procedures.ReferencesBechstein M, Elsheikh S, Wodarg F, et al. Republished: Interhospital Teleproctoring of Endovascular Intracranial Aneurysm Treatment Using a Dedicated Live-streaming Technology: First Experiences during the Covid-19 Pandemic. J Neurointerv Surg 2021;13(2):E1.Bechstein M, Buhk JH, Frolich AM, et al. Training and Supervision...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Bechstein, M., Hanning, U., Martinez-Galdamez, M., Kalousek, V., Fiehler, J., Guerreiro, H. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research

Mechanical thrombectomy for acute ischemic stroke in COVID-19 patients: multicenter experience in 111 cases
Conclusion Our study showed a poor clinical outcome and high mortality, especially in patients with severe acute COVID-19 infection undergoing MT due to LVO.
Source: Journal of NeuroInterventional Surgery - August 12, 2022 Category: Neurosurgery Authors: Styczen, H., Maus, V., Goertz, L., Köhrmann, M., Kleinschnitz, C., Fischer, S., Möhlenbruch, M., Mühlen, I., Kallmünzer, B., Dorn, F., Lakghomi, A., Gawlitza, M., Kaiser, D., Klisch, J., Lobsien, D., Rohde, S., Ellrichmann, Tags: COVID-19 The pandemic and neurointervention Source Type: research

050 Feasibility of an automated assessment to measure cognition and mood in the acute stroke setting
Discussion Screening was adapted due to Covid pandemic and utilising remote consent and participa- tion allowed the project to continue.
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 12, 2022 Category: Neurosurgery Authors: Bell, S., Harkness, K., Roman, M., Gardner, J., Richards, E., Howe, J., Sikaonga, M., Mirheidari, B., Christensen, H., Blackburn, D. Tags: Poster presentations Source Type: research

Inpatient virtual shared medical appointments to improve health literacy, increase patient self-efficacy, and reduce provider burnout in acute cerebrovascular pathology patients and their caregivers: a pilot study
CONCLUSIONS: Implementation of a vSMA program at a tertiary care center during a pandemic was feasible. Themes caregivers expressed on the postsession survey included better understanding of caring for a stroke patient and coping with the unpredictability of a patient's prognosis. The pandemic has precipitated shifts toward telehealth, but this study highlights the importance of avoiding marginalization of elderly and less technologically inclined populations.PMID:35921191 | DOI:10.3171/2022.4.FOCUS21764
Source: Neurosurgical Focus - August 3, 2022 Category: Neurosurgery Authors: Uma V Mahajan Neha Sharma Marquis Maynard Lei Kang Collin M Labak Alankrita Raghavan Martha Sajatovic Alan Hoffer Berje H Shammassian James M Wright Xiaofei Zhou Christina Huang Wright Source Type: research

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