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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(03): 489-494
DOI: 10.1055/s-0042-1750807
Case Report

Large-Vessel Occlusion Stroke Treated by Endovascular Thrombectomy in Patient with Coronavirus Disease 2019

Yuko Tsurumi
1   Department of Neurosurgery, Tsurumi Hospital, Koga, Ibaraki, Japan
,
Noriaki Matsubara
2   Department of Neurosurgery, Soseikai General Hospital, Kyoto, Japan
,
Hayato Yokoyama
1   Department of Neurosurgery, Tsurumi Hospital, Koga, Ibaraki, Japan
,
Osamu Hososhima
1   Department of Neurosurgery, Tsurumi Hospital, Koga, Ibaraki, Japan
,
Arihito Tsurumi
1   Department of Neurosurgery, Tsurumi Hospital, Koga, Ibaraki, Japan
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Abstract

We report a case of acute ischemic stroke caused by large-vessel occlusion in a patient infected with coronavirus disease 2019 (COVID-19) who was treated by endovascular thrombectomy. The patient was a 41-year-old man hospitalized with moderately severe COVID-19. Fourteen days after the onset of COVID-19, dysarthria and right hemiplegia were observed, and acute occlusion of the left middle cerebral artery was diagnosed. Mechanical thrombectomy was performed with a stent retriever while the patient was under local anesthesia and sedation. The staff involved in the intervention was as minimal as possible. The interventional surgeon wore a disposable surgical gown, an N95 mask, a face shield, and two pairs of gloves, while the patient was fitted with a surgical mask. The intervention involved the usual procedures, such as sheath insertion, catheter manipulation, and stent deployment, and the thrombus was removed with the stent retriever. The time from puncture to recanalization was within 30 minutes. No infection was observed in our staff or inpatients after the intervention. Thus, we were able to perform neuroendovascular treatment without spreading COVID-19 by taking appropriate measures to prevent infection.

Keywords

COVID-19 - ischemic stroke - thrombectomy - infection prevention


Publikationsverlauf

Artikel online veröffentlicht:
07. September 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Nguyen TN, Abdalkader M, Jovin TG. et al. Mechanical thrombectomy in the era of the COVID-19 pandemic: emergency preparedness for neuroscience teams: a guidance statement from the Society of Vascular and Interventional Neurology. Stroke 2020; 51 (06) 1896-1901
    CrossrefPubMedGoogle Scholar
  • 2 Khosravani H, Rajendram P, Notario L, Chapman MG, Menon BK. Protected code stroke: hyperacute stroke management during the coronavirus disease 2019 (COVID-19) pandemic. Stroke 2020; 51 (06) 1891-1895
    CrossrefPubMedGoogle Scholar
  • 3 Requena M, Olivé-Gadea M, Muchada M. et al. COVID-19 and stroke: incidence and etiological description in a high-volume center. J Stroke Cerebrovasc Dis 2020; 29 (11) 105225
    CrossrefPubMedGoogle Scholar
  • 4 Chen J, Wu Y, Chen Z. et al. High incidence of stroke in COVID-19 patients. Aging (Albany NY) 2020; 12 (22) 22390-22398
    PubMedGoogle Scholar
  • 5 Li B, Yang J, Zhao F. et al. Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin Res Cardiol 2020; 109 (05) 531-538
    CrossrefPubMedGoogle Scholar
  • 6 Bhatia R, Srivastava MVP. COVID-19 and stroke: incidental, triggered or causative. Ann Indian Acad Neurol 2020; 23 (03) 318-324
    CrossrefPubMedGoogle Scholar
  • 7 Horiuchi H, Morishita E, Urano T, Yokoyama K. Questionnaire-survey Joint Team on The COVID-19-related thrombosis. COVID-19-related thrombosis in Japan: final report of a questionnaire-based survey in 2020. J Atheroscler Thromb 2021; 28 (04) 406-416
    CrossrefPubMedGoogle Scholar
  • 8 Yavagal DR, Saini V, Inoa V. et al; MT2020 Global Executive Committee. International survey of mechanical thrombectomy stroke systems of care during COVID-19 pandemic. J Stroke Cerebrovasc Dis 2021; 30 (08) 105806
    CrossrefPubMedGoogle Scholar
  • 9 Liu H, Zhang Q, Wei P. et al. The basis of a more contagious 501Y. V1 variant of SARS-COV-2. bioRxiv. 2021.02.428884 (preprint)
    Google Scholar
  • 10 Matsubara N, Hiramatsu R, Yagi R. et al. Other hospital-onset acute ischemic stroke due to large vessel occlusion treated by mechanical thrombectomy after inter-hospital transfer. Neurol Med Chir (Tokyo) 2020; 60 (04) 209-216
    CrossrefPubMedGoogle Scholar
  • 11 Shigeta K, Ota T, Kaneko J. et al; TREAT study group. Negative impact of interhospital transfer on clinical outcomes of mechanical thrombectomy for fast progressive stroke. J Stroke Cerebrovasc Dis 2021; 30 (04) 105633
    CrossrefPubMedGoogle Scholar