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. 2020 Jun;51(6):1902-1909.
doi: 10.1161/STROKEAHA.120.029863. Epub 2020 Apr 30.

Endovascular Therapy for Patients With Acute Ischemic Stroke During the COVID-19 Pandemic: A Proposed Algorithm

Matthew S Smith  1 , Jordan Bonomo  1   2   3 , William A Knight 4th  1   2   3 , Charles J Prestigiacomo  2 , Christopher T Richards  3 , Evan Ramser  4 , Opeolu Adeoye  2   3 , Stuart Bertsch  5 , Peyman Shirani  1   2 , Achala Vagal  6 , Carl J Fichtenbaum  7 , Anne Housholder  8 , Pooja Khatri  1 , Dawn O Kleindorfer  1 , Joseph P Broderick  1 , Aaron W Grossman  2
Affiliations

Endovascular Therapy for Patients With Acute Ischemic Stroke During the COVID-19 Pandemic: A Proposed Algorithm

Matthew S Smith et al. Stroke. 2020 Jun.
No abstract available

Keywords: brain ischemia; coronavirus; endovascular procedures; pandemics; thrombectomy.

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Figures

Figure 1.
Figure 1.
Recommendations for screening patients for coronavirus disease 2019 (COVID-19) before endovascular therapy (EVT), adapted from the Centers for Disease Control and Prevention (CDC’s) human infection with 2019 novel coronavirus person under investigation (PUI) and case report form.
Figure 2.
Figure 2.
Recommendations for airway management in patients with suspected or confirmed coronavirus disease 2019 (COVID-19) undergoing endovascular therapy (EVT). IR indicates interventional radiology; and PUI, person under investigation.
Figure 3.
Figure 3.
Recommendations for evaluation and management of coronavirus disease 2019 (COVID-19) positive patients who develop stroke. ARDS indicates acute respiratory distress syndrome; CPSS, Cincinnati Prehospital Stroke Scale; ECMO, extracorporeal membrane oxygenation; EVT, endovascular therapy; and LVO, large vessel occlusion.
Figure 4.
Figure 4.
Recommendations to mitigate overload in stroke systems of care during the coronavirus disease 2019 (COVID-19) pandemic. AHA indicates American Heart Association; ASA, American Stroke Association; CSC, comprehensive stroke center; EVT, endovascular therapy; IR, interventional radiology; LVO, large vessel occlusion; PPE, personal protective equipment; and TSC, thrombectomy-ready stroke center.
Figure 5.
Figure 5.
A proposed algorithm for endovascular therapy in acute ischemic stroke during the coronavirus disease 2019 (COVID-19) pandemic. ARDS indicates acute respiratory distress syndrome; ECMO, extra corporeal membrane oxygenation; EVT, endovascular therapy; LVO, large vessel occlusion; and PPE, personal protective equipment.
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References

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