Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients
The COVID-19 pandemic has become increasingly worse worldwide since it was discovered in China in late December 2019. Easy contact transmission between people and a low to moderate mortality rate may cause failure in medical health services if there is no proper personal protective equipment for per...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/12/11/1431 |
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| author | Yu-Hao Chang Nien-Chen Liao Yuang-Seng Tsuei Wen-Hsieh Chen Chiung-Chyi Shen Yi-Chin Yang Chung-Hsin Lee |
| author_facet | Yu-Hao Chang Nien-Chen Liao Yuang-Seng Tsuei Wen-Hsieh Chen Chiung-Chyi Shen Yi-Chin Yang Chung-Hsin Lee |
| author_sort | Yu-Hao Chang |
| collection | DOAJ |
| description | The COVID-19 pandemic has become increasingly worse worldwide since it was discovered in China in late December 2019. Easy contact transmission between people and a low to moderate mortality rate may cause failure in medical health services if there is no proper personal protective equipment for personnel. During the pandemic, patients with acute ischemic stroke with large-vessel occlusion who required immediate treatment through mechanical thrombectomy (MT) were still being sent to the emergency room. Knowing how to maintain effective treatment standards has become our concern. We used a retrospective, single-center study to select COVID-19 (-) patients with acute ischemic stroke undergoing mechanical thrombectomy during the years 2020–2021. Patients with acute ischemic stroke with large-vessel occlusion received mechanical thrombectomy were compared with patients admitted from December 2020 to May 2021 (the pre-COVID-19 group) and those from June 2021 to November 2021 (the during COVID-19 group). Furthermore, the time disparity of mechanical thrombectomy was compared between these two groups. Of patients confirmed with acute ischemic stroke (AIS) with large-vessel occlusion (LVO) during the study period, 62 were included. Compared with the pre-COVID-19 group (34 patients; median age, 70.5 years), the during COVID-19 group (28 patients; median age, 71.5 years) showed no major median time difference in door-to-computed-tomography-angiography (CTA) time (19.0 min vs. 20.0 min, <i>p</i> = 0.398) and no major median time difference in door-to-groin-puncture time (118.0 min vs. 109.0 min, <i>p</i> = 0.281). In our study, with a prepared protocol for the pandemic having been established in the healthcare system, we could see no difference between the pre-pandemic and during-pandemic time periods when using mechanical thrombectomy to treat COVID-19 (-) patients of AIS with LVO. By means of a quick-PCR test during triage, there was no time delay to perform MT or any lowering of safety protocol for workers in the healthcare system. |
| first_indexed | 2024-03-09T19:13:52Z |
| format | Article |
| id | doaj.art-13bda79006984af285dcfe5322ba1aaf |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T19:13:52Z |
| publishDate | 2022-10-01 |
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| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-13bda79006984af285dcfe5322ba1aaf2023-11-24T03:55:50ZengMDPI AGBrain Sciences2076-34252022-10-011211143110.3390/brainsci12111431Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 PatientsYu-Hao Chang0Nien-Chen Liao1Yuang-Seng Tsuei2Wen-Hsieh Chen3Chiung-Chyi Shen4Yi-Chin Yang5Chung-Hsin Lee6Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Radiology, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung 407219, TaiwanThe COVID-19 pandemic has become increasingly worse worldwide since it was discovered in China in late December 2019. Easy contact transmission between people and a low to moderate mortality rate may cause failure in medical health services if there is no proper personal protective equipment for personnel. During the pandemic, patients with acute ischemic stroke with large-vessel occlusion who required immediate treatment through mechanical thrombectomy (MT) were still being sent to the emergency room. Knowing how to maintain effective treatment standards has become our concern. We used a retrospective, single-center study to select COVID-19 (-) patients with acute ischemic stroke undergoing mechanical thrombectomy during the years 2020–2021. Patients with acute ischemic stroke with large-vessel occlusion received mechanical thrombectomy were compared with patients admitted from December 2020 to May 2021 (the pre-COVID-19 group) and those from June 2021 to November 2021 (the during COVID-19 group). Furthermore, the time disparity of mechanical thrombectomy was compared between these two groups. Of patients confirmed with acute ischemic stroke (AIS) with large-vessel occlusion (LVO) during the study period, 62 were included. Compared with the pre-COVID-19 group (34 patients; median age, 70.5 years), the during COVID-19 group (28 patients; median age, 71.5 years) showed no major median time difference in door-to-computed-tomography-angiography (CTA) time (19.0 min vs. 20.0 min, <i>p</i> = 0.398) and no major median time difference in door-to-groin-puncture time (118.0 min vs. 109.0 min, <i>p</i> = 0.281). In our study, with a prepared protocol for the pandemic having been established in the healthcare system, we could see no difference between the pre-pandemic and during-pandemic time periods when using mechanical thrombectomy to treat COVID-19 (-) patients of AIS with LVO. By means of a quick-PCR test during triage, there was no time delay to perform MT or any lowering of safety protocol for workers in the healthcare system.https://www.mdpi.com/2076-3425/12/11/1431acute ischemic strokeCOVID-19mechanical thrombectomy |
| spellingShingle | Yu-Hao Chang Nien-Chen Liao Yuang-Seng Tsuei Wen-Hsieh Chen Chiung-Chyi Shen Yi-Chin Yang Chung-Hsin Lee Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients Brain Sciences acute ischemic stroke COVID-19 mechanical thrombectomy |
| title | Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients |
| title_full | Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients |
| title_fullStr | Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients |
| title_full_unstemmed | Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients |
| title_short | Maintaining the Quality of Mechanical Thrombectomy after Acute Ischemic Stroke in COVID(-)19 Patients |
| title_sort | maintaining the quality of mechanical thrombectomy after acute ischemic stroke in covid 19 patients |
| topic | acute ischemic stroke COVID-19 mechanical thrombectomy |
| url | https://www.mdpi.com/2076-3425/12/11/1431 |
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