Abstract:
PURPOSE:We describe the reorganization carried out during the COVID-19 outbreak at one of the stroke centers in Italy and report on the clinical features and procedural variables of stroke patients in need of endovascular treatment. METHODS:From 1 March to 10 May 2020, we retrospectively analyzed data from stroke patients in need of urgent neurointerventional treatment. Clinical presentation, demographics, and clinical history were collected along with procedural variables (door-to-needle time, needle-to-mTiCi time). Each patient underwent a nasal swab (polymerase chain reaction test), clinical screening, and chest CT scan to assess the risk of SARS-CoV-2 infection. Technical success, procedural safety (including staff SARS-CoV-2 infection), and clinical outcome at discharge were retrieved. A comparison was made with the same patient population treated between 1 March and 10 May 2019 to highlight possible differences in the characteristics or outcomes of the patients. RESULTS:One hundred thirty-six ischemic stroke patients were admitted to our facility from 1 March to 10 May 2020. Of these, 12 patients (9%) were classified as "high risk" for SARS-CoV-2 infection. Radiological suspicion of COVID-19 was confirmed in all cases by pharyngeal swab. Five SARS-CoV-2 patients (42%) needed endovascular therapy. None of the staff members tested positive for IgG against SARS-CoV-2. Compared to the same period in 2019, an increase in the mean interval from the first symptoms to hospital arrival was observed (p < 0.05). CONCLUSION:Endovascular treatment of stroke presented several challenges during the COVID-19 outbreak. Within the hospital, special pathways can be used to maintain both procedural safety and procedural times.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Asteggiano F,Divenuto I,Ajello D,Gennaro N,Santonocito O,Marcheselli S,Balzarini L,Nuzzi NP,Politi LSdoi
10.1007/s00234-020-02617-3subject
Has Abstractpub_date
2021-01-07 00:00:00eissn
0028-3940issn
1432-1920pii
10.1007/s00234-020-02617-3pub_type
杂志文章相关文献
NEURORADIOLOGY文献大全abstract::In older patients with severe aortic atherosclerosis or pronounced tortuosity of the brachiocephalic vessels, selective catheterisation may be impossible. In order to overcome this difficulty we introduced a new "turn-over" technique. This involves introduction of a long guidewire through the catheter, advancing it an...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00588076
更新日期:1994-01-01 00:00:00
abstract::MRI may be used for detecting cartilage invasion in patients with laryngeal carcinoma. However, the normal laryngeal ossification pattern has not been studied. Our purpose was to examine the normal age-related signal patterns in the cricoid, thyroid and arytenoid cartilages on T1-weighted images. Signal in the cartila...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-003-1153-3
更新日期:2004-08-01 00:00:00
abstract::A case of postoperative hypoparathyroidism is presented in which calcifications seen on CT scan were differently visualized on T2 weighted NMR images. High and low signal intensities may reflect different stages of the calcifying process thus confirming neuropathological findings. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00342026
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:As adequate therapy for retinoblastoma in young children depends on infiltration of extra-retinal structures, diagnostic modalities play an essential role. METHODS:In this widely extended study, 80 children with retinoblastoma were studied with MRI (standard fat-suppressed Gd-enhanced T1, T2 thin-slice sequ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-004-1316-x
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Indices of collateral flow deficit derived from MR perfusion imaging that are predictive of MCA-M1 recanalization after intravenous thrombolysis have been recently reported. Our objective was to test the performance of such MRI-derived collateral flow indices for prediction of recanalization after endovasc...
journal_title:Neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00234-013-1310-2
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION:The purpose of this study was to investigate the radioligand uptake and iodine contrast distribution in the intra- and extracranial circulation of the rat, after intra-arterial injections to the common carotid artery and different parts of the internal carotid artery. METHODS:All animal experiments were c...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-014-1335-1
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:The phenomenon of futile recanalization, defined as lack of clinical benefit despite angiographic recanalization, is an important limitation of endovascular treatment for acute ischemic stroke. We aim to characterize the occurrence and predictors of futile recanalization in the endovascular arm of the Intervent...
journal_title:Neuroradiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00234-018-2016-2
更新日期:2018-05-01 00:00:00
abstract::We report our experience in the endovascular treatment with detachable platinum coils of ruptured or symptomatic unruptured cerebral aneurysms in 61 patients aged 70-82 years. Complete occlusion was achieved in 38, subtotal in 17 and partial in one. The treatment failed in five patients. Clinical follow-up was perform...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-005-1444-y
更新日期:2005-12-01 00:00:00
abstract::Duplication of the vertebral artery is rare. We report two cases in which it was an incidental finding. In the first, duplication of the right vertebral artery was demonstrated by magnetic resonance angiography (MRA) and conventional angiography. The second patient had duplication of the right vertebral artery demonst...
journal_title:Neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s002340000515
更新日期:2001-06-01 00:00:00
abstract::Meningeal sarcomas are very rare, highly aggressive tumours affecting children more frequently than adults. The clinical course and MRI of meningeal sarcomas in two cases are discussed with special regard to possible misinterpretation. In one case MRI demonstrated a circumscribed mass in contact with the meninges, wit...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340050399
更新日期:1997-03-01 00:00:00
abstract:INTRODUCTION:Not uncommonly, differentiating multiple sclerosis (MS) from ischemic cerebral vascular disease is difficult based on conventional magnetic resonance imaging (MRI). We aim to determine whether preferential occult injury in the normal-appearing corpus callosum (NACC) is more severe in patients with MS than ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-009-0535-6
更新日期:2009-09-01 00:00:00
abstract::The internal carotid artery system in swine has a special anatomic configuration similar to a brain "arterial-arterial malformation." The internal carotid artery breaks up into a multitude of fine channels (rete mirabile) situated at the base of the skull on the side of the hypophysis. This anatomic arterial model was...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00593050
更新日期:1990-01-01 00:00:00
abstract:INTRODUCTION:Endovascular treatment of intracranial aneurysms has been an effective treatment option. In this paper, we report our experience with the Silk stent (SS) for endovascular treatment of complex intracranial aneurysms and present periprocedural events, immediate results, delayed complications, and imaging and...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-012-1051-7
更新日期:2012-12-01 00:00:00
abstract::Axial fast FLAIR images of the brains of 40 normal volunteers in four age groups between 16 and 55 years were examined and the number and size of areas of increased white-matter signal recorded. Increased signal in the corticospinal tract region was seen at the level of the internal capsule in all subjects, extending ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340050402
更新日期:1997-04-01 00:00:00
abstract:INTRODUCTION:The cerebellum undergoes dramatic growth and maturation over the neonatal period after preterm birth and is thus particularly sensitive to impaired development due to various clinical factors. METHODS:Impairments in growth can occur independent of cerebellar parenchymal damage, such as from local hemorrha...
journal_title:Neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00234-013-1230-1
更新日期:2013-09-01 00:00:00
abstract::We report an asymptomatic 15-year-old boy with X-linked adrenoleukodystrophy and his symptomatic 38-year-old mother. MRI revealed similar, subtle high-signal lesions in the periventricular white matter of the parieto-occipital regions, without involvement of the corpus callosum, more pronounced in the mother. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340100575
更新日期:2001-11-01 00:00:00
abstract::Using a polystyrene phantom and various concentrations of iodine contrast material, the discrimination of blood vessels by the EMI scanner was studied. Although a 2 mm tube can be delineated using high concentrations of iodine, smaller tubes are not seen due to noise inherent in the system. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00327256
更新日期:1976-01-01 00:00:00
abstract::We report two cases showing duplicate origin of the vertebral artery; one with fenestaration of the distal portion of the left vertebral artery. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00451774
更新日期:1987-01-01 00:00:00
abstract::Eleven patients with dural carotid-cavernous sinus fistulae were studied with selective magnification angiography. The angiographic features of this condition were analyzed in detail. The arterial plexus normally present in and around the cavernous sinus has been thought to rupture into the sinus and establish an arte...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00347804
更新日期:1980-01-01 00:00:00
abstract::MRI in a 17-year-old boy with known congenital agammaglobulinaemia (CA) demonstrated signs of chronic leptomeningeal inflammation with thickened, enhancing meninges. Furthermore, high signal was found symmetrically on T2-weighted images in the frontal and parietal white matter. The patient presented with severe genera...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340050636
更新日期:1998-08-01 00:00:00
abstract::Our objective was to determine the visibility of the cisternal segment of the normal abducens nerve using a three-dimensional Fourier-Transform constructive interference in the steady state (3DFT-CISS) sequence. Its visibility was rated in 150 patients without clinical evidence of abducens nerve disturbance. Axial 1-m...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s002340050770
更新日期:1999-05-01 00:00:00
abstract::The computed tomographic findings of three patients with cerebral syphilis, including cerebral gumma, which regressed completely under penicillin therapy, syphilitic angiitis with cerbral infarction, and syphilitic cerebral atrophy, are reported. CT is unable to provide specific diagnostic data for these conditions. T...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00345725
更新日期:1979-10-31 00:00:00
abstract::We report a neonate in whom clinical and radiologic studies revealed features of both neurocutaneous melanosis and a Dandy-Walker malformation. We suggest that the association of these two conditions is perhaps not chance. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00607285
更新日期:1996-07-01 00:00:00
abstract::The CT features of cerebellar lesions with von Hippel-Lindau's disease are analyzed. The use of CT scanning for associated spinal hemangioblastomas is discussed in the light of a case with a low cervical lesion. The role of computed tomography in the neuroradiological investigations is discussed. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00418622
更新日期:1978-02-17 00:00:00
abstract::The distribution of the anterior choroidal artery (AChA) was analysed on coronal, sagittal and axial microangiograms of cadaver brains. On axial sections, the territory of the AChA was confined to an arcuate zone between the striatum anterolaterally and the thalamus posteromedially. On sagittal sections, fine vessels ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00612113
更新日期:1994-07-01 00:00:00
abstract:INTRODUCTION:The purpose of this study was to determine whether coil embolisation with a new complex-shaped Guglielmi Detachable Coil (GDC 360 degrees; Boston Scientific Neurovascular, Fremont, CA, USA) has any effect on the stability of aneurysm occlusion. MATERIALS AND METHODS:Fifty-one consecutive patients with int...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-008-0467-6
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Internal carotid artery dissection with tandem internal carotid and middle cerebral artery occlusion may be responsible for large cerebral infarction that carries a general poor prognosis. Recanalization of internal carotid artery (ICA) dissection by stent-assisted thrombolysis has been recently proposed. ...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-009-0597-5
更新日期:2010-02-01 00:00:00
abstract::MR studies of 6 patients with intracranial tuberculoma are reviewed. All patients also underwent CT scans which showed hypo- or isodense lesions with abnormal enhancement following contrast administration. MR showed lesions with prolongation of the T1 relaxation time in every case. On the T2-weighted sequences, the si...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/BF00344170
更新日期:1989-01-01 00:00:00
abstract::We report the case of a 58-year-old man with a giant partially thrombosed anterior communicating artery aneurysm, which presented with mass effect. Our treatment strategy consisted of endovascular aneurysm circulatory exclusion prior to surgical resection. To do so, we first occluded both the two A1 segments and the a...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-005-1361-0
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:Reflux venous signal on the brain and neck time-of-flight magnetic resonance angiography (TOF MRA) is thought to be related to a compressed left brachiocephalic vein. This study is aimed to assess the prevalence of venous reflux flow in internal jugular vein (IJV), sigmoid sinus/transverse sinus (SS/TS), a...
journal_title:Neuroradiology
pub_type: 杂志文章
doi:10.1007/s00234-013-1239-5
更新日期:2013-10-01 00:00:00