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Specialty: Neurosurgery
Infectious Disease: COVID-19
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Correction: Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes
Adam de Havenon, Shadi Yaghi, Eva A Mistry, et al. Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes. J Neurointerv Surg 2020;12:1045–48, doi: 10.1136/neurintsurg-2020-016777
Since this article was published online first, table 1 has been amended. The data in the two COVID-19 columns now uses brackets and the % symbol.
Source: Journal of NeuroInterventional Surgery - October 15, 2021 Category: Neurosurgery Tags: COVID-19 Miscellaneous 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
Comparative Analysis of COVID-19 Outbreak and Changes in Neurosurgical Emergency Patients
CONCLUSION: Due to the occurrence of COVID-19, non-essential activities have decreased and trauma cases not associated with traffic accidents appeared to decrease. Due to the decrease in overall activity, the number of stroke patients has also decreased. This trend is expected to continue even in the post-COVID-19 era, and accordingly, the results from the present study are relevant especially if the current situation continues.PMID:34492750 | DOI:10.3340/jkns.2021.0056
Source: Journal of Korean Neurosurgical Society - September 7, 2021 Category: Neurosurgery Authors: Min Ho Lee Seu-Ryang Jang Tae-Kyu Lee 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
Letter regarding 'Neurointervention for emergent large vessel occlusion strokes during the COVID-19 pandemic
We read with great interest the recent article by Fiorella et al1 in which the authors discussed several practical points on neurointerventional management of large vessel occlusion (LVO) acute ischemic stroke (AIS) during the coronavirus 2019 (COVID-19) pandemic. Although we fully agree with Fiorella et al about considering aggressive measures in triaging during the endovascular treatment (EVT) of AIS patients in order to minimize severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection exposure and transmission to healthcare personnel (HCP), we are urging a more cautious and balanced approach. While EVT is ...
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Hamidianjahromi, A., Mowla, A. Tags: COVID-19 Letter 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
P-031 Effect of COVID-19 on acute ischemic stroke: population-level experience
ConclusionIn this population-level study, significant decreases in AIS volume were observed with slightly higher incidence in younger population and higher LVO strokes. Rates of thrombolysis and thrombectomy remained unchanged but patients appeared to have worse outcomes.Disclosures Y. Kim: None. S. Khose: None. S. Salazar-Marioni: None. R. Abdelkhaleq: None. S. Sheth: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Kim, Y., Khose, S., Salazar-Marioni, S., Abdelkhaleq, R., Sheth, S. Tags: Oral poster abstracts Source Type: research
P-043 Elevated D-dimer levels predicts mortality in COVID-19 with stroke: analysis of multi-center electronic health record data
ConclusionsPeak D-dimer levels above 5.15 µg/ml feu are associated with increased mortality in COVID-19 patients with AIS.Disclosures Y. Kim: None. S. Khose: None. R. Abdelkhaleq: None. S. Salazar-Marioni: None. S. Sheth: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Kim, Y., Khose, S., Abdelkhaleq, R., Salazar-Marioni, S., Sheth, S. Tags: Oral poster abstracts Source Type: research
E-004 Focal intracranial vasculopathy as a manifestation of COVID-19-associated acute ischemic stroke
ConclusionTo our knowledge, our case is the first to illustrate the potential for COVID-19 infection to present as a focal intracranial vasculopathy in an otherwise healthy young-patient, resulting in acute ischemic stroke without an underlying hypercoagulable state. Rescue intracranial stenting was necessary to maintain vessel patency and restore intracranial flow.Disclosures A. Mahapatra: None. A. Witek: None. G. Toth: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Mahapatra, A., Witek, A., Toth, G. Tags: Electronic poster abstracts Source Type: research
E-008 Variation in subarachnoid hemorrhage presentation and demographics in California during the COVID-19 pandemic: A UC stroke consortium study
ConclusionsCOVID19(+) patients presenting with SAH were younger than COVID(-) controls, and there was a trend toward underrepresentation of Hispanic patients in the COVID(+) group. Recognizing COVID19 status as a factor in SAH presentation is important to mitigate healthcare disparities in California.Disclosures A. Gautam: None. T. Caton: None. K. Narsinh: None. A. Baker: None. S. Hetts: None. D. Cooke: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Gautam, A., Caton, T., Narsinh, K., Baker, A., Hetts, S., Cooke, D. Tags: Electronic poster abstracts Source Type: research
E-020 A novel technique to treat tandem occlusion by utilizing stentriever as the distal protection device with aspiration catheter
ConclusionThe novel technique to revascularize tandem occlusion utilizing a stent-retriever as a distal protection device along with an aspiration catheter and a balloon-guided catheter is feasible. Immediate flow restoration at the distal occlusion site with simultaneous revascularization of the proximal ICA steno-occlusive lesion potentially improves the puncture to reperfusion timeDisclosures S. Suzuki: None. J. Granstein: None. A. Chan: None. B. Ball: None. V. Vu: None. K. Golshani: None. I. Yuki: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Suzuki, S., Granstein, J., Chan, A., Ball, B., Vu, V., Golshani, K., Yuki, I. Tags: Electronic poster abstracts Source Type: research
