Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review

Abstract Introduction Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Initially, COVID-19 is a disease that attacks the respiratory tract, but now the clinical manifestations of COVID-19 are various, including acute ischemic st...

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Main Authors: Aditya Kurnianto, Dodik Tugasworo, Yovita Andhitara, Retnaningsih, Rahmi Ardhini, Jethro Budiman
Format: Article
Language:English
Published: SpringerOpen 2021-06-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-021-00321-4
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author Aditya Kurnianto
Dodik Tugasworo
Yovita Andhitara
Retnaningsih
Rahmi Ardhini
Jethro Budiman
author_facet Aditya Kurnianto
Dodik Tugasworo
Yovita Andhitara
Retnaningsih
Rahmi Ardhini
Jethro Budiman
author_sort Aditya Kurnianto
collection DOAJ
description Abstract Introduction Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Initially, COVID-19 is a disease that attacks the respiratory tract, but now the clinical manifestations of COVID-19 are various, including acute ischemic stroke (AIS). Emergency surgeries such as mechanical thrombectomy (MT) for AIS must be performed without any delay even during the COVID-19 pandemic, to reduce morbidity and mortality. Besides the focus on patient’s health, the safety of healthcare workers must also be considered. The aim of the study was to evaluate and summarize the scientific literature systematically to explore MT for AIS in the COVID-19 pandemic. Data synthesis The independent reviewers searched the literature through 12 electronic databases, searching for articles fulfilling inclusion and exclusion criteria. The data from all included studies were presented in a summary table featuring key points of each study. The authors independently assessed the risk of bias of 15 included articles. Conclusion Although MT procedure has been prolonged during the pandemic, clinical outcomes and procedure-related serious adverse events have remained unchanged during the COVID-19 pandemic. The screening process and the implementation of the PCS algorithm must be performed to reduce the spread of COVID-19 infection without threatening patient safety and clinical outcomes. The standard precaution of infection and the health assurance of healthcare workers and their families (including mental health) are also important factors that must be given special attention and consideration in the COVID-19 pandemic.
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spelling doaj.art-a06b7a803cbe48a599ab7b7a3431eb712022-12-21T22:32:51ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292021-06-0157111010.1186/s41983-021-00321-4Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic reviewAditya Kurnianto0Dodik Tugasworo1Yovita Andhitara2Retnaningsih3Rahmi Ardhini4Jethro Budiman5Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityDepartment of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityDepartment of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityDepartment of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityDepartment of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityDepartment of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro UniversityAbstract Introduction Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Initially, COVID-19 is a disease that attacks the respiratory tract, but now the clinical manifestations of COVID-19 are various, including acute ischemic stroke (AIS). Emergency surgeries such as mechanical thrombectomy (MT) for AIS must be performed without any delay even during the COVID-19 pandemic, to reduce morbidity and mortality. Besides the focus on patient’s health, the safety of healthcare workers must also be considered. The aim of the study was to evaluate and summarize the scientific literature systematically to explore MT for AIS in the COVID-19 pandemic. Data synthesis The independent reviewers searched the literature through 12 electronic databases, searching for articles fulfilling inclusion and exclusion criteria. The data from all included studies were presented in a summary table featuring key points of each study. The authors independently assessed the risk of bias of 15 included articles. Conclusion Although MT procedure has been prolonged during the pandemic, clinical outcomes and procedure-related serious adverse events have remained unchanged during the COVID-19 pandemic. The screening process and the implementation of the PCS algorithm must be performed to reduce the spread of COVID-19 infection without threatening patient safety and clinical outcomes. The standard precaution of infection and the health assurance of healthcare workers and their families (including mental health) are also important factors that must be given special attention and consideration in the COVID-19 pandemic.https://doi.org/10.1186/s41983-021-00321-4Acute ischemic strokeCOVID-19Ischemic strokeMechanical thrombectomy
spellingShingle Aditya Kurnianto
Dodik Tugasworo
Yovita Andhitara
Retnaningsih
Rahmi Ardhini
Jethro Budiman
Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Acute ischemic stroke
COVID-19
Ischemic stroke
Mechanical thrombectomy
title Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
title_full Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
title_fullStr Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
title_full_unstemmed Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
title_short Mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in COVID-19 pandemic: a systematic review
title_sort mechanical thrombectomy mt for acute ischemic stroke ais in covid 19 pandemic a systematic review
topic Acute ischemic stroke
COVID-19
Ischemic stroke
Mechanical thrombectomy
url https://doi.org/10.1186/s41983-021-00321-4
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AT yovitaandhitara mechanicalthrombectomymtforacuteischemicstrokeaisincovid19pandemicasystematicreview
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