학술논문
International controlled study of revascularization and outcomes following COVID‐positive mechanical thrombectomy
Document Type
article
Author
Dmytriw, Adam A; Ghozy, Sherief; Sweid, Ahmad; Piotin, Michel; Bekelis, Kimon; Sourour, Nader; Raz, Eytan; Vela‐Duarte, Daniel; Linfante, Italo; Dabus, Guilherme; Kole, Max; Martínez‐Galdámez, Mario; Nimjee, Shahid M; Lopes, Demetrius K; Hassan, Ameer E; Kan, Peter; Ghorbani, Mohammad; Levitt, Michael R; Escalard, Simon; Missios, Symeon; Shapiro, Maksim; Clarençon, Fréderic; Elhorany, Mahmoud; Tahir, Rizwan A; Youssef, Patrick P; Pandey, Aditya S; Starke, Robert M; Naamani, Kareem El; Abbas, Rawad; Mansour, Ossama Y; Galvan, Jorge; Billingsley, Joshua T; Mortazavi, Abolghasem; Walker, Melanie; Dibas, Mahmoud; Settecase, Fabio; Heran, Manraj KS; Kuhn, Anna L; Puri, Ajit S; Menon, Bijoy K; Sivakumar, Sanjeev; Mowla, Ashkan; D'Amato, Salvatore; Zha, Alicia M; Cooke, Daniel; Vranic, Justin E; Regenhardt, Robert W; Rabinov, James D; Stapleton, Christopher J; Goyal, Mayank; Wu, Hannah; Cohen, Jake; Turkel‐Parella, David; Xavier, Andrew; Waqas, Muhammad; Tutino, Vincent; Siddiqui, Adnan; Gupta, Gaurav; Nanda, Anil; Khandelwal, Priyank; Tiu, Cristina; Portela, Pere C; de la Ossa, Natalia Perez; Urra, Xabier; Lera, Mercedes; Arenillas, Juan F; Ribo, Marc; Requena, Manuel; Piano, Mariangela; Pero, Guglielmo; Sousa, Keith; Al‐Mufti, Fawaz; Hashim, Zafar; Nayak, Sanjeev; Renieri, Leonardo; Du, Rose; Aziz‐Sultan, Mohamed A; Liebeskind, David; Nogueira, Raul G; Abdalkader, Mohamad; Nguyen, Thanh N; Vigilante, Nicholas; Siegler, James E; Grossberg, Jonathan A; Saad, Hassan; Gooch, Michael R; Herial, Nabeel A; Rosenwasser, Robert H; Tjoumakaris, Stavropoula; Patel, Aman B; Tiwari, Ambooj; Jabbour, Pascal; Investigators, North American Neurovascular COVID‐19 Consortium Society of Vascular and Interventional Neurology
Source
European Journal of Neurology. 29(11)
Subject
Language
Abstract
Background and purposePrevious studies suggest that mechanisms and outcomes in patients with COVID-19-associated stroke differ from those in patients with non-COVID-19-associated strokes, but there is limited comparative evidence focusing on these populations. The aim of this study, therefore, was to determine if a significant association exists between COVID-19 status with revascularization and functional outcomes following thrombectomy for large vessel occlusion (LVO), after adjustment for potential confounding factors.MethodsA cross-sectional, international multicenter retrospective study was conducted in consecutively admitted COVID-19 patients with concomitant acute LVO, compared to a control group without COVID-19. Data collected included age, gender, comorbidities, clinical characteristics, details of the involved vessels, procedural technique, and various outcomes. A multivariable-adjusted analysis was conducted.ResultsIn this cohort of 697 patients with acute LVO, 302 had COVID-19 while 395 patients did not. There was a significant difference (p