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

Pouria Moshayedi, Timothy E. Ryan, Lucido Luciano Ponce Mejia, May Nour, David S. Liebeskind

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

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.

Original languageEnglish
Article number353
JournalFrontiers in Neurology
Volume11
DOIs
StatePublished - 21 Apr 2020
Externally publishedYes

Keywords

  • COVID-19
  • disease transmission
  • large vessel occlusion (LVO)
  • stroke—diagnosis
  • therapy
  • triage

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