Article Figures & Data
Tables
Thrombectomies in Patients with COVID-19 (n = 13) Age (median) (IQR) (yr) 78 (71–79) Male sex (No.) (%) 5 (38.4%) Risk factors (No.) (%) Hypertension 8 (61.5%) Dyslipidemia 3 (23.0%) Diabetes 2 (15.3%) Smoking 3 (23.0%) Baseline mRS score >2 0 (0%) Baseline NIHSS score (median) (IQR) 13 (7–15) Symptom onset to femoral puncture (median) (IQR) (min) 244 (232–290) IV thrombolysis (No.) (%) 4 (30.7%) Initial imaging type (No.) (%) MR imaging 11 (84.6%) CT 2 (15.3%) Initial APECTSa ASPECTS <5 (n/N) (%) 0/12 (0%) ASPECTS score (median) (IQR) 8 (5.7–9) Occlusion site at angiography (No) (%) M1 segment 8 (61.5%) M2 segment 3 (23.0%) Tandem occlusion 1 (7.6%) Basilar trunk 1 (7.6%) Note:—IQR indicates interquartile range; n/N, n - number of cases with ASPECTS <5/N - number of cases with anterior circulation strokes.
↵a For anterior circulation strokes.
Thrombectomies in Patients with COVID-19 (n = 13) Anesthesia method (No.) (%) General anesthesia 9 (69.2%) Conscious sedation 4 (30.7%) Initial treatment approach (No.) (%) Stent retriever 4 (30.7%) ADAPT technique 6 (46.1%) Combined distal aspiration and stent retriever 3 (23.0%) Timing of intervention (median) (IQR)( min) Femoral puncture to recanalization 34.5 (23–45) Symptom onset to recanalization 298.5 (261–324) Angiographic outcome (No.) (%) TICI 2b–3 10 (76.9%) TICI 2c–3 9 (69.2%) TICI 3 7 (53.8%) Procedural complications (No.) (%) Neurologic 0 (0%) Non-neurologic (femoral artery occlusion) 1 (7.6%) Imaging outcome (No). (%) All hemorrhagic transformation 3 (23.0%) Symptomatic ICH 0 (0%) HI1–HI2 2 (15.3%) PH 1 1 (7.6%) PH 2 0 (0%) Clinical outcome In-hospital mortality (No.) (%) 2 (15.3%) Last available NIHSS (median) (IQR)a 5 (0.5–12.5) NIHSS drop (median) (IQR)a 2 (0.5–5) Note:—ADAPT indicates direct aspiration first pass technique; ICH, intracerebral hemorrhage; PH, parenchymal hematoma; HI, petechial hemorrhage.
↵a n = 10 (excluding 2 deceased patients).
- Table 3:
Influence of COVID-19 epidemic on mechanical thrombectomy volumes and procedural time metrics
March 1 to April 26, 2019 March 1 to April 26, 2020 Variation/P Value Volume of mechanical thrombectomies 43 34 –21% Symptom onset to brain imaging (median) (IQR) (min) 141 (102–189) 135 (100–171) .568 Symptom onset to IV thrombolysisa (median) (IQR) (min) 167 (141–188) 162 (150–180) .992 Imaging to femoral puncture (median) (IQR) (min) 102 (82–137) 113 (96–138) .316 Symptom onset to femoral puncture (median) (IQR) (min) 257 (207–298) 258 (211–293) .919 Femoral puncture to recanalization (median) (IQR) (min) 48 (39–71) 43 (25–58) .363 ↵a For patients who received IV thrombolysis before thrombectomy.