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Changes in Neuroendovascular Procedural Volume During the COVID-19 Pandemic: An International Multicenter Study

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机构: [1]Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO (AIQ, SA, WH, INA, CRG, IL) [2]Division of Neurological Surgery, University of Missouri, Columbia, MO (SA, FS) [3]Departments of Neurology and Radiology, University of Kansas Medical Center, Kansas City, KS [4]Department of Neurointervention, Marion Bloch Neuroscience Institute/Saint Luke’s Hospital, Kansas City, MO [5]Departments of Neurology, Neurosurgery and Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY [6]Zeenat Qureshi Stroke Institute, Department of Neurology, University of FIRAT, Elazig, Turkey [7]Adventist Health Glendale Comprehensive Stroke Center, Los Angeles, CA [8]Department of Neurology, University of Texas Rio Grande Valley - Valley Baptist Medical Center, Harlingen, TX [9]Department of Neurology, Creighton University Medical Center/CHI Health, Omaha, NE [10]Asia Pacific Comprehensive Stroke Institute, Hilo, HI [11]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [12]Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX [13]Stroke and Neurovascular Center, Hackensack Meridian Health-JFK University Medical Center, Hackensack, NJ [14]Department of Neurology and Interventional Stroke Treatment Centre, Kazimierz Pulaski University of Technology and Humanities, Radom, Poland [15]Department of Neurology, Jefferson Health Abington, Philadelphia, PA [16]Department of Neurology, Yeungnam University School of Medicine, Daegu, Korea [17]Department of Neurology, Stroke and Neurointervention Section, Alexandria University Hospital, Faculty of medicine, Alexandria, Egypt [18]Department of Interventional Neuroradiology, Rothschild Foundation, Paris, France [19]St. Cloud Hospital, St. Cloud, MN
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关键词: carotid stent corona virus COVID-19 mechanical thrombectomy neuroendovascular procedures

摘要:
BACKGROUND AND PURPOSE: The effect of coronavirus disease 2019 (COVID-19) pandemic on performance of neuroendovascular procedures has not been quantified. METHODS: We performed an audit of performance of neuroendovascular procedures at 18 institutions (seven countries) for two periods; January-April 2019 and 2020, to identify changes in various core procedures. We divided the region where the hospital was located based on the median value of total number of COVID-19 cases per 100,00 population-into high and low prevalent regions. RESULTS: Between 2019 and 2020, there was a reduction in number of cerebral angiograms (30.9% reduction), mechanical thrombectomy (8% reduction), carotid artery stent placement for symptomatic (22.7% reduction) and asymptomatic (43.4% reduction) stenoses, intracranial angioplasty and/or stent placement (45% reduction), and endovascular treatment of unruptured intracranial aneurysms (44.6% reduction) and ruptured (22.9% reduction) and unruptured brain arteriovenous malformations (66.4% reduction). There was an increase in the treatment of ruptured intracranial aneurysms (10% increase) and other neuroendovascular procedures (34.9% increase). There was no relationship between procedural volume change and intuitional location in high or low COVID-19 prevalent regions. The procedural volume reduction was mainly observed in March-April 2020. CONCLUSIONS: We provided an international multicenter view of changes in neuroendovascular practices to better understand the gaps in provision of care and identify individual procedures, which are susceptible to change. © 2020 American Society of Neuroimaging

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经成像 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经成像 4 区 核医学
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出版当年[2019]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q3 CLINICAL NEUROLOGY Q3 NEUROIMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q3 CLINICAL NEUROLOGY Q3 NEUROIMAGING

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第一作者机构: [1]Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO (AIQ, SA, WH, INA, CRG, IL) [*1]Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO 65212
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通讯机构: [1]Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO (AIQ, SA, WH, INA, CRG, IL) [*1]Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO 65212
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