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Remote neuro-endovascular consultation using a secure telemedicine system: A feasibility study
CONCLUSION: A remote consultation system with real-time audio-visual capability may play an important role in acute stroke management and maintain the quality of patient care under COVID-19 conditions.PMID:35242413 | PMC:PMC8888291 | DOI:10.25259/SNI_1165_2021
Source: Surgical Neurology International - March 4, 2022 Category: Neurosurgery Authors: Toshihiro Ishibashi Shogo Kaku Shota Sonoda Yuichi Murayama 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

What should we do about vaccination of patients on anti-CD20 antibody therapy?
The SARS-CoV-2 antibody response was decreased in patients with multiple sclerosis (MS) who were infected with COVID-19 and received anti-CD20 therapy Vaccination efforts for COVID-19 are currently underway worldwide. At present, there is insufficient evidence of the vaccine’s efficacy and safety in patients with neurological diseases, such as stroke, dementia and intractable neurological diseases. Despite the fact that many patients with neurological diseases are elderly and often have systemic complications, I believe that neurologists should nonetheless actively recommend vaccination to their patients. However, th...
Source: Journal of Neurology, Neurosurgery and Psychiatry - December 14, 2021 Category: Neurosurgery Authors: Shimohata, T. Tags: COVID-19 Editorial commentaries 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

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