CovidFranceV1, Main, Exploration, bibRecord, 000B52

Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.

Identifieur interne : 000B52 ( Main/Exploration ); précédent : 000B51; suivant : 000B53

Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.

Auteurs : Adnan I. Qureshi [États-Unis] ; Foad Abd-Allah [Égypte] ; Fahmi Al-Senani [Arabie saoudite] ; Emrah Aytac ; Afshin Borhani-Haghighi [Iran] ; Alfonso Ciccone [Italie] ; Camilo R. Gomez [États-Unis] ; Erdem Gurkas [Turquie] ; Chung Y. Hsu [Taïwan] ; Vishal Jani [États-Unis] ; Liqun Jiao [République populaire de Chine] ; Adam Kobayashi [Pologne] ; Jun Lee [Corée du Sud] ; Jahanzeb Liaqat [Pakistan] ; Mikael Mazighi [France] ; Rajsrinivas Parthasarathy [Inde] ; Thorsten Steiner [Allemagne] ; M Fareed K. Suri [États-Unis] ; Kazunori Toyoda [Japon] ; Marc Ribo [Espagne] ; Fernando Gongora-Rivera [Mexique] ; Jamary Oliveira-Filho [Brésil] ; Guven Uzun [États-Unis] ; Yongjun Wang [République populaire de Chine]

Source :

International journal of stroke : official journal of the International Stroke Society [ 1747-4949 ] ; 2020.

RBID : pubmed:32362244

Descripteurs français

English descriptors

KwdEn :
- Betacoronavirus (MeSH), Brain Ischemia (diagnosis), Brain Ischemia (epidemiology), Brain Ischemia (therapy), Cerebral Angiography (MeSH), Comorbidity (MeSH), Computed Tomography Angiography (MeSH), Coronavirus Infections (blood), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Disease Management (MeSH), Health Personnel (MeSH), Humans (MeSH), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Magnetic Resonance Angiography (MeSH), Magnetic Resonance Imaging (MeSH), Pandemics (MeSH), Patient Isolators (MeSH), Perfusion Imaging (MeSH), Pneumonia, Viral (blood), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Risk (MeSH), Stroke (diagnosis), Stroke (epidemiology), Stroke (therapy), Thrombophilia (blood), Tomography, X-Ray Computed (MeSH).
MESH :
- blood : Coronavirus Infections, Pneumonia, Viral, Thrombophilia.
- diagnosis : Brain Ischemia, Coronavirus Infections, Pneumonia, Viral, Stroke.
- epidemiology : Brain Ischemia, Coronavirus Infections, Pneumonia, Viral, Stroke.
- prevention & control : Infectious Disease Transmission, Patient-to-Professional.
- therapy : Brain Ischemia, Stroke.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Betacoronavirus, Cerebral Angiography, Comorbidity, Computed Tomography Angiography, Disease Management, Health Personnel, Humans, Magnetic Resonance Angiography, Magnetic Resonance Imaging, Pandemics, Patient Isolators, Perfusion Imaging, Risk, Tomography, X-Ray Computed.

Abstract

BACKGROUND AND PURPOSE

On 11 March 2020, World Health Organization (WHO) declared the COVID-19 infection a pandemic. The risk of ischemic stroke may be higher in patients with COVID-19 infection similar to those with other respiratory tract infections. We present a comprehensive set of practice implications in a single document for clinicians caring for adult patients with acute ischemic stroke with confirmed or suspected COVID-19 infection.

METHODS

The practice implications were prepared after review of data to reach the consensus among stroke experts from 18 countries. The writers used systematic literature reviews, reference to previously published stroke guidelines, personal files, and expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulate practice implications. All members of the writing group had opportunities to comment in writing on the practice implications and approved the final version of this document.

RESULTS

This document with consensus is divided into 18 sections. A total of 41 conclusions and practice implications have been developed. The document includes practice implications for evaluation of stroke patients with caution for stroke team members to avoid COVID-19 exposure, during clinical evaluation and performance of imaging and laboratory procedures with special considerations of intravenous thrombolysis and mechanical thrombectomy in stroke patients with suspected or confirmed COVID-19 infection.

CONCLUSIONS

These practice implications with consensus based on the currently available evidence aim to guide clinicians caring for adult patients with acute ischemic stroke who are suspected of, or confirmed, with COVID-19 infection. Under certain circumstances, however, only limited evidence is available to support these practice implications, suggesting an urgent need for establishing procedures for the management of stroke patients with suspected or confirmed COVID-19 infection.

DOI: 10.1177/1747493020923234
PubMed: 32362244

Affiliations:

Allemagne, Arabie saoudite, Brésil, Corée du Sud, Espagne, France, Inde, Iran, Italie, Japon, Mexique, Pakistan, Pologne, République populaire de Chine, Taïwan, Turquie, Égypte, États-Unis
Bade-Wurtemberg, Californie, District de Karlsruhe, Minnesota, Missouri (État), Nebraska, Île-de-France
Heidelberg, Paris, Pékin

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Le document en format XML

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<author><name sortKey="Gomez, Camilo R" sort="Gomez, Camilo R" uniqKey="Gomez C" first="Camilo R" last="Gomez">Camilo R. Gomez</name>
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<author><name sortKey="Hsu, Chung Y" sort="Hsu, Chung Y" uniqKey="Hsu C" first="Chung Y" last="Hsu">Chung Y. Hsu</name>
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<author><name sortKey="Jiao, Liqun" sort="Jiao, Liqun" uniqKey="Jiao L" first="Liqun" last="Jiao">Liqun Jiao</name>
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<author><name sortKey="Kobayashi, Adam" sort="Kobayashi, Adam" uniqKey="Kobayashi A" first="Adam" last="Kobayashi">Adam Kobayashi</name>
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<author><name sortKey="Lee, Jun" sort="Lee, Jun" uniqKey="Lee J" first="Jun" last="Lee">Jun Lee</name>
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<author><name sortKey="Liaqat, Jahanzeb" sort="Liaqat, Jahanzeb" uniqKey="Liaqat J" first="Jahanzeb" last="Liaqat">Jahanzeb Liaqat</name>
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<author><name sortKey="Mazighi, Mikael" sort="Mazighi, Mikael" uniqKey="Mazighi M" first="Mikael" last="Mazighi">Mikael Mazighi</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Interventional Neuroradiology, Rothschild Foundation Hospital, University of Paris, Laboratory of Vascular Translational Sciences, Paris</wicri:regionArea>
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<author><name sortKey="Parthasarathy, Rajsrinivas" sort="Parthasarathy, Rajsrinivas" uniqKey="Parthasarathy R" first="Rajsrinivas" last="Parthasarathy">Rajsrinivas Parthasarathy</name>
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<country xml:lang="fr">Inde</country>
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<author><name sortKey="Steiner, Thorsten" sort="Steiner, Thorsten" uniqKey="Steiner T" first="Thorsten" last="Steiner">Thorsten Steiner</name>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt and Heidelberg University Hospital, Heidelberg</wicri:regionArea>
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<author><name sortKey="Suri, M Fareed K" sort="Suri, M Fareed K" uniqKey="Suri M" first="M Fareed K" last="Suri">M Fareed K. Suri</name>
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<author><name sortKey="Toyoda, Kazunori" sort="Toyoda, Kazunori" uniqKey="Toyoda K" first="Kazunori" last="Toyoda">Kazunori Toyoda</name>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Ribo, Marc" sort="Ribo, Marc" uniqKey="Ribo M" first="Marc" last="Ribo">Marc Ribo</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona</wicri:regionArea>
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</affiliation>
</author>
<author><name sortKey="Gongora Rivera, Fernando" sort="Gongora Rivera, Fernando" uniqKey="Gongora Rivera F" first="Fernando" last="Gongora-Rivera">Fernando Gongora-Rivera</name>
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<author><name sortKey="Oliveira Filho, Jamary" sort="Oliveira Filho, Jamary" uniqKey="Oliveira Filho J" first="Jamary" last="Oliveira-Filho">Jamary Oliveira-Filho</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Biomorphology, Federal University of Bahia, Salvador, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Department of Biomorphology, Federal University of Bahia, Salvador</wicri:regionArea>
<wicri:noRegion>Salvador</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Uzun, Guven" sort="Uzun, Guven" uniqKey="Uzun G" first="Guven" last="Uzun">Guven Uzun</name>
<affiliation wicri:level="2"><nlm:affiliation>Beverly Hills Pain Institute and Neurology, Beverly Hills, CA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Beverly Hills Pain Institute and Neurology, Beverly Hills, CA</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wang, Yongjun" sort="Wang, Yongjun" uniqKey="Wang Y" first="Yongjun" last="Wang">Yongjun Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Tiantan Comprehensive Stroke Center, Beijing Tiantan Hospital, Capital Medical University Beijing, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Tiantan Comprehensive Stroke Center, Beijing Tiantan Hospital, Capital Medical University Beijing</wicri:regionArea>
<wicri:noRegion>Capital Medical University Beijing</wicri:noRegion>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.</title>
<author><name sortKey="Qureshi, Adnan I" sort="Qureshi, Adnan I" uniqKey="Qureshi A" first="Adnan I" last="Qureshi">Adnan I. Qureshi</name>
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<author><name sortKey="Abd Allah, Foad" sort="Abd Allah, Foad" uniqKey="Abd Allah F" first="Foad" last="Abd-Allah">Foad Abd-Allah</name>
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<author><name sortKey="Al Senani, Fahmi" sort="Al Senani, Fahmi" uniqKey="Al Senani F" first="Fahmi" last="Al-Senani">Fahmi Al-Senani</name>
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<author><name sortKey="Aytac, Emrah" sort="Aytac, Emrah" uniqKey="Aytac E" first="Emrah" last="Aytac">Emrah Aytac</name>
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<author><name sortKey="Borhani Haghighi, Afshin" sort="Borhani Haghighi, Afshin" uniqKey="Borhani Haghighi A" first="Afshin" last="Borhani-Haghighi">Afshin Borhani-Haghighi</name>
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<author><name sortKey="Ciccone, Alfonso" sort="Ciccone, Alfonso" uniqKey="Ciccone A" first="Alfonso" last="Ciccone">Alfonso Ciccone</name>
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<wicri:noRegion>Mantua</wicri:noRegion>
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<author><name sortKey="Gomez, Camilo R" sort="Gomez, Camilo R" uniqKey="Gomez C" first="Camilo R" last="Gomez">Camilo R. Gomez</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Gurkas, Erdem" sort="Gurkas, Erdem" uniqKey="Gurkas E" first="Erdem" last="Gurkas">Erdem Gurkas</name>
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<wicri:regionArea>Stroke Center, Department of Neurology, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul</wicri:regionArea>
<wicri:noRegion>Istanbul</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hsu, Chung Y" sort="Hsu, Chung Y" uniqKey="Hsu C" first="Chung Y" last="Hsu">Chung Y. Hsu</name>
<affiliation wicri:level="1"><nlm:affiliation>Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.</nlm:affiliation>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Graduate Institute of Clinical Medical Science, China Medical University, Taichung</wicri:regionArea>
<wicri:noRegion>Taichung</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jani, Vishal" sort="Jani, Vishal" uniqKey="Jani V" first="Vishal" last="Jani">Vishal Jani</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Creighton University Medical Center/CHI Health, Omaha, NE, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Creighton University Medical Center/CHI Health, Omaha, NE</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jiao, Liqun" sort="Jiao, Liqun" uniqKey="Jiao L" first="Liqun" last="Jiao">Liqun Jiao</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing</wicri:regionArea>
<placeName><settlement type="city">Pékin</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kobayashi, Adam" sort="Kobayashi, Adam" uniqKey="Kobayashi A" first="Adam" last="Kobayashi">Adam Kobayashi</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology and Interventional Stroke Treatment Centre, Kazimierz Pulaski University of Technology and Humanities, Radom, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Neurology and Interventional Stroke Treatment Centre, Kazimierz Pulaski University of Technology and Humanities, Radom</wicri:regionArea>
<wicri:noRegion>Radom</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Jun" sort="Lee, Jun" uniqKey="Lee J" first="Jun" last="Lee">Jun Lee</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Yeungnam University School of Medicine, Daegu, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Yeungnam University School of Medicine, Daegu</wicri:regionArea>
<wicri:noRegion>Daegu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Liaqat, Jahanzeb" sort="Liaqat, Jahanzeb" uniqKey="Liaqat J" first="Jahanzeb" last="Liaqat">Jahanzeb Liaqat</name>
<affiliation wicri:level="1"><nlm:affiliation>Pakistan Emirates Military Hospital (J.L.), Rawalpindi, Pakistan.</nlm:affiliation>
<country xml:lang="fr">Pakistan</country>
<wicri:regionArea>Pakistan Emirates Military Hospital (J.L.), Rawalpindi</wicri:regionArea>
<wicri:noRegion>Rawalpindi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mazighi, Mikael" sort="Mazighi, Mikael" uniqKey="Mazighi M" first="Mikael" last="Mazighi">Mikael Mazighi</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Interventional Neuroradiology, Rothschild Foundation Hospital, University of Paris, Laboratory of Vascular Translational Sciences, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Interventional Neuroradiology, Rothschild Foundation Hospital, University of Paris, Laboratory of Vascular Translational Sciences, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Parthasarathy, Rajsrinivas" sort="Parthasarathy, Rajsrinivas" uniqKey="Parthasarathy R" first="Rajsrinivas" last="Parthasarathy">Rajsrinivas Parthasarathy</name>
<affiliation wicri:level="1"><nlm:affiliation>Stroke & Neurointervention Artemis Hospitals, Gurugram, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Stroke & Neurointervention Artemis Hospitals, Gurugram</wicri:regionArea>
<wicri:noRegion>Gurugram</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Steiner, Thorsten" sort="Steiner, Thorsten" uniqKey="Steiner T" first="Thorsten" last="Steiner">Thorsten Steiner</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt and Heidelberg University Hospital, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt and Heidelberg University Hospital, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Suri, M Fareed K" sort="Suri, M Fareed K" uniqKey="Suri M" first="M Fareed K" last="Suri">M Fareed K. Suri</name>
<affiliation wicri:level="2"><nlm:affiliation>St Cloud Hospital, St Cloud, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>St Cloud Hospital, St Cloud, MN</wicri:regionArea>
<placeName><region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Toyoda, Kazunori" sort="Toyoda, Kazunori" uniqKey="Toyoda K" first="Kazunori" last="Toyoda">Kazunori Toyoda</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka</wicri:regionArea>
<wicri:noRegion>Osaka</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ribo, Marc" sort="Ribo, Marc" uniqKey="Ribo M" first="Marc" last="Ribo">Marc Ribo</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona</wicri:regionArea>
<wicri:noRegion>Universitat Autonoma de Barcelona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gongora Rivera, Fernando" sort="Gongora Rivera, Fernando" uniqKey="Gongora Rivera F" first="Fernando" last="Gongora-Rivera">Fernando Gongora-Rivera</name>
<affiliation wicri:level="1"><nlm:affiliation>Servicio de Neurología, Hospital Universitario José Eleuterio González de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México; Instituto de Neurología y Neurocirugía, Hospital Zambrano Hellion, Tecnológico de Monterrey, San Pedro, Nuevo León, México.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Mexique</country>
<wicri:regionArea>Servicio de Neurología, Hospital Universitario José Eleuterio González de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México; Instituto de Neurología y Neurocirugía, Hospital Zambrano Hellion, Tecnológico de Monterrey, San Pedro, Nuevo León</wicri:regionArea>
<wicri:noRegion>Nuevo León</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Oliveira Filho, Jamary" sort="Oliveira Filho, Jamary" uniqKey="Oliveira Filho J" first="Jamary" last="Oliveira-Filho">Jamary Oliveira-Filho</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Biomorphology, Federal University of Bahia, Salvador, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Department of Biomorphology, Federal University of Bahia, Salvador</wicri:regionArea>
<wicri:noRegion>Salvador</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Uzun, Guven" sort="Uzun, Guven" uniqKey="Uzun G" first="Guven" last="Uzun">Guven Uzun</name>
<affiliation wicri:level="2"><nlm:affiliation>Beverly Hills Pain Institute and Neurology, Beverly Hills, CA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Beverly Hills Pain Institute and Neurology, Beverly Hills, CA</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wang, Yongjun" sort="Wang, Yongjun" uniqKey="Wang Y" first="Yongjun" last="Wang">Yongjun Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Tiantan Comprehensive Stroke Center, Beijing Tiantan Hospital, Capital Medical University Beijing, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Tiantan Comprehensive Stroke Center, Beijing Tiantan Hospital, Capital Medical University Beijing</wicri:regionArea>
<wicri:noRegion>Capital Medical University Beijing</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">International journal of stroke : official journal of the International Stroke Society</title>
<idno type="eISSN">1747-4949</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term>
<term>Brain Ischemia (diagnosis)</term>
<term>Brain Ischemia (epidemiology)</term>
<term>Brain Ischemia (therapy)</term>
<term>Cerebral Angiography (MeSH)</term>
<term>Comorbidity (MeSH)</term>
<term>Computed Tomography Angiography (MeSH)</term>
<term>Coronavirus Infections (blood)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Disease Management (MeSH)</term>
<term>Health Personnel (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Magnetic Resonance Angiography (MeSH)</term>
<term>Magnetic Resonance Imaging (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Patient Isolators (MeSH)</term>
<term>Perfusion Imaging (MeSH)</term>
<term>Pneumonia, Viral (blood)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Risk (MeSH)</term>
<term>Stroke (diagnosis)</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (therapy)</term>
<term>Thrombophilia (blood)</term>
<term>Tomography, X-Ray Computed (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (diagnostic)</term>
<term>Accident vasculaire cérébral (thérapie)</term>
<term>Accident vasculaire cérébral (épidémiologie)</term>
<term>Angiographie cérébrale (MeSH)</term>
<term>Angiographie par résonance magnétique (MeSH)</term>
<term>Angiographie par tomodensitométrie (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Comorbidité (MeSH)</term>
<term>Encéphalopathie ischémique (diagnostic)</term>
<term>Encéphalopathie ischémique (thérapie)</term>
<term>Encéphalopathie ischémique (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Imagerie de perfusion (MeSH)</term>
<term>Imagerie par résonance magnétique (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (sang)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Isolateurs pour patients (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Personnel de santé (MeSH)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (sang)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prise en charge de la maladie (MeSH)</term>
<term>Risque (MeSH)</term>
<term>Thrombophilie (sang)</term>
<term>Tomodensitométrie (MeSH)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Thrombophilia</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Ischemia</term>
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Encéphalopathie ischémique</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Brain Ischemia</term>
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Infectious Disease Transmission, Patient-to-Professional</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Thrombophilie</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Brain Ischemia</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Encéphalopathie ischémique</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Encéphalopathie ischémique</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term>
<term>Cerebral Angiography</term>
<term>Comorbidity</term>
<term>Computed Tomography Angiography</term>
<term>Disease Management</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Magnetic Resonance Angiography</term>
<term>Magnetic Resonance Imaging</term>
<term>Pandemics</term>
<term>Patient Isolators</term>
<term>Perfusion Imaging</term>
<term>Risk</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Angiographie cérébrale</term>
<term>Angiographie par résonance magnétique</term>
<term>Angiographie par tomodensitométrie</term>
<term>Betacoronavirus</term>
<term>Comorbidité</term>
<term>Humains</term>
<term>Imagerie de perfusion</term>
<term>Imagerie par résonance magnétique</term>
<term>Isolateurs pour patients</term>
<term>Pandémies</term>
<term>Personnel de santé</term>
<term>Prise en charge de la maladie</term>
<term>Risque</term>
<term>Tomodensitométrie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b>
</p>
<p>On 11 March 2020, World Health Organization (WHO) declared the COVID-19 infection a pandemic. The risk of ischemic stroke may be higher in patients with COVID-19 infection similar to those with other respiratory tract infections. We present a comprehensive set of practice implications in a single document for clinicians caring for adult patients with acute ischemic stroke with confirmed or suspected COVID-19 infection.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The practice implications were prepared after review of data to reach the consensus among stroke experts from 18 countries. The writers used systematic literature reviews, reference to previously published stroke guidelines, personal files, and expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulate practice implications. All members of the writing group had opportunities to comment in writing on the practice implications and approved the final version of this document.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>This document with consensus is divided into 18 sections. A total of 41 conclusions and practice implications have been developed. The document includes practice implications for evaluation of stroke patients with caution for stroke team members to avoid COVID-19 exposure, during clinical evaluation and performance of imaging and laboratory procedures with special considerations of intravenous thrombolysis and mechanical thrombectomy in stroke patients with suspected or confirmed COVID-19 infection.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>These practice implications with consensus based on the currently available evidence aim to guide clinicians caring for adult patients with acute ischemic stroke who are suspected of, or confirmed, with COVID-19 infection. Under certain circumstances, however, only limited evidence is available to support these practice implications, suggesting an urgent need for establishing procedures for the management of stroke patients with suspected or confirmed COVID-19 infection.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32362244</PMID>
<DateCompleted><Year>2020</Year>
<Month>07</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>07</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1747-4949</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>15</Volume>
<Issue>5</Issue>
<PubDate><Year>2020</Year>
<Month>07</Month>
</PubDate>
</JournalIssue>
<Title>International journal of stroke : official journal of the International Stroke Society</Title>
<ISOAbbreviation>Int J Stroke</ISOAbbreviation>
</Journal>
<ArticleTitle>Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.</ArticleTitle>
<Pagination><MedlinePgn>540-554</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1177/1747493020923234</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE">On 11 March 2020, World Health Organization (WHO) declared the COVID-19 infection a pandemic. The risk of ischemic stroke may be higher in patients with COVID-19 infection similar to those with other respiratory tract infections. We present a comprehensive set of practice implications in a single document for clinicians caring for adult patients with acute ischemic stroke with confirmed or suspected COVID-19 infection.</AbstractText>
<AbstractText Label="METHODS">The practice implications were prepared after review of data to reach the consensus among stroke experts from 18 countries. The writers used systematic literature reviews, reference to previously published stroke guidelines, personal files, and expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulate practice implications. All members of the writing group had opportunities to comment in writing on the practice implications and approved the final version of this document.</AbstractText>
<AbstractText Label="RESULTS">This document with consensus is divided into 18 sections. A total of 41 conclusions and practice implications have been developed. The document includes practice implications for evaluation of stroke patients with caution for stroke team members to avoid COVID-19 exposure, during clinical evaluation and performance of imaging and laboratory procedures with special considerations of intravenous thrombolysis and mechanical thrombectomy in stroke patients with suspected or confirmed COVID-19 infection.</AbstractText>
<AbstractText Label="CONCLUSIONS">These practice implications with consensus based on the currently available evidence aim to guide clinicians caring for adult patients with acute ischemic stroke who are suspected of, or confirmed, with COVID-19 infection. Under certain circumstances, however, only limited evidence is available to support these practice implications, suggesting an urgent need for establishing procedures for the management of stroke patients with suspected or confirmed COVID-19 infection.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Qureshi</LastName>
<ForeName>Adnan I</ForeName>
<Initials>AI</Initials>
<AffiliationInfo><Affiliation>Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abd-Allah</LastName>
<ForeName>Foad</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Kasralainy school of Medicine, Cairo University, Cairo, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Al-Senani</LastName>
<ForeName>Fahmi</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Neurology Department, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aytac</LastName>
<ForeName>Emrah</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, University of FIRAT, Elazig Turkey.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Borhani-Haghighi</LastName>
<ForeName>Afshin</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ciccone</LastName>
<ForeName>Alfonso</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Neurosciences, Hospital Carlo Poma, ASST di Mantova, Mantua, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gomez</LastName>
<ForeName>Camilo R</ForeName>
<Initials>CR</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, University of Missouri, MO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gurkas</LastName>
<ForeName>Erdem</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Stroke Center, Department of Neurology, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hsu</LastName>
<ForeName>Chung Y</ForeName>
<Initials>CY</Initials>
<AffiliationInfo><Affiliation>Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jani</LastName>
<ForeName>Vishal</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Creighton University Medical Center/CHI Health, Omaha, NE, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jiao</LastName>
<ForeName>Liqun</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kobayashi</LastName>
<ForeName>Adam</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Neurology and Interventional Stroke Treatment Centre, Kazimierz Pulaski University of Technology and Humanities, Radom, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Jun</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Yeungnam University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liaqat</LastName>
<ForeName>Jahanzeb</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Pakistan Emirates Military Hospital (J.L.), Rawalpindi, Pakistan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mazighi</LastName>
<ForeName>Mikael</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Interventional Neuroradiology, Rothschild Foundation Hospital, University of Paris, Laboratory of Vascular Translational Sciences, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Parthasarathy</LastName>
<ForeName>Rajsrinivas</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Stroke & Neurointervention Artemis Hospitals, Gurugram, India.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Steiner</LastName>
<ForeName>Thorsten</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt and Heidelberg University Hospital, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Suri</LastName>
<ForeName>M Fareed K</ForeName>
<Initials>MFK</Initials>
<AffiliationInfo><Affiliation>St Cloud Hospital, St Cloud, MN, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Toyoda</LastName>
<ForeName>Kazunori</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ribo</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gongora-Rivera</LastName>
<ForeName>Fernando</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Servicio de Neurología, Hospital Universitario José Eleuterio González de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México; Instituto de Neurología y Neurocirugía, Hospital Zambrano Hellion, Tecnológico de Monterrey, San Pedro, Nuevo León, México.</Affiliation>
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{{Explor lien
   |wiki=    Sante
   |area=    CovidFranceV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:32362244
   |texte=   Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.
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	Serveur d'exploration sur la COVID en France
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

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Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.

Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.

Source :

Descripteurs français

English descriptors

Abstract

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