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. 2020 Apr 21:11:353.
doi: 10.3389/fneur.2020.00353. eCollection 2020.

Triage of Acute Ischemic Stroke in Confirmed COVID-19: Large Vessel Occlusion Associated With Coronavirus Infection

Pouria Moshayedi  1 , Timothy E Ryan  1 , Lucido Luciano Ponce Mejia  2 , May Nour  1   2 , David S Liebeskind  1
Affiliations

Triage of Acute Ischemic Stroke in Confirmed COVID-19: Large Vessel Occlusion Associated With Coronavirus Infection

Pouria Moshayedi et al. Front Neurol. .

Abstract

The outbreak of COVID-19 has posed a significant challenge to global healthcare. Acute stroke care requires rapid bedside attendance, imaging, and intervention. However, for acute stroke patients who have a diagnosis of or are under investigation for COVID-19, the concern for nosocomial transmission moderates operational procedures for acute stroke care. We present our experience with an in-hospital stroke code called on a COVID-19-positive patient with a left middle cerebral artery syndrome and the challenges faced for timely examination, imaging, and decision to intervene. The outlook for the ongoing COVID-19 pandemic necessitates the development of protocols to sustain timely and effective acute stroke care while mitigating healthcare-associated transmission.

Keywords: COVID-19; disease transmission; large vessel occlusion (LVO); stroke—diagnosis; therapy; triage.

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