1. Initial Stroke Thrombectomy Experience in New York City during the COVID-19 Pandemic
- Author
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J Mocco, Kurt A. Yaeger, Trevor Hardigan, Tomoyoshi Shigematsu, Johanna T Fifi, Shahram Majidi, Travis R. Ladner, Georgios A Maragkos, B. Yim, C. Rossitto, and Jacques Lara-Reyna
- Subjects
Adult ,Male ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,MEDLINE ,030218 nuclear medicine & medical imaging ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Occlusion ,Pandemic ,Health care ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Pandemics ,Stroke ,Aged ,Retrospective Studies ,Thrombectomy ,Aged, 80 and over ,Interventional ,SARS-CoV-2 ,business.industry ,Incidence (epidemiology) ,COVID-19 ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Treatment Outcome ,Reperfusion ,Emergency medicine ,Female ,New York City ,Neurology (clinical) ,Coronavirus Infections ,business ,030217 neurology & neurosurgery - Abstract
New York City has become the global epicenter of the coronavirus 2019 (COVID-19) pandemic. Despite a massive shift in health care resources, cerebrovascular disease continues to be a substantial burden. We review the first 10 patients undergoing thrombectomy following a series of governmental and institutional policy changes diverting resources to the care of critically ill patients with COVID-19. Ten patients with emergent large-vessel occlusion underwent thrombectomy between March 23 and April 1, 2020. Five patients tested positive for the COVID-19 virus. Successful reperfusion was achieved in 9 of 10 patients, at a median time of 37 minutes from vascular access. The postprocedural NIHSS score improved by an average of 7.7 points. Of the 5 patients positive for COVID-19, none have experienced a critical respiratory illness. We report the early incidence of COVID-19 positivity in patients with emergent large-vessel occlusion and demonstrate that thrombectomy continues to be an efficacious option, as well as safe for health care providers.
- Published
- 2020
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