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

• Published in: The American journal of emergency medicine Vol. 38; no. 7; pp. 1548.e5 - 1548.e7
• Main Authors: Qureshi, Adnan I., Abd-Allah, Foad, Al-Senani, Fahmi, Aytac, Emrah, Borhani-Haghighi, Afshin, Ciccone, Alfonso, Gomez, Camilo R., Gurkas, Erdem, Hsu, Chung Y., Jani, Vishal, Jiao, Liqun, Kobayashi, Adam, Lee, Jun, Liaqat, Jahanzeb, Mazighi, Mikael, Parthasarathy, Rajsrinivas, Miran, Muhammad Shah, Steiner, Thorsten, Toyoda, Kazunori, Ribo, Marc, Gongora–Rivera, Fernando, Oliveira-Filho, Jamary, Uzun, Guven, Wang, Yongjun
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2020; Elsevier Limited
• Subjects: Acute stroke; Betacoronavirus; Brain Ischemia - diagnostic imaging; Brain Ischemia - therapy; Conduction; Corona virus; Coronavirus Infections - complications; Coronaviruses; COVID-19; Disease Management; Emergency medical care; Humans; Infection Control; Intravenous administration; Ischemia; Ischemic stroke; Literature reviews; Mechanical thrombectomy; Medical imaging; Mortality; Pandemics; Pneumonia, Viral - complications; SARS-CoV-2; Stroke; Stroke - diagnostic imaging; Stroke - therapy; Thrombolysis; Thrombolytic drugs; COVID-19; Corona virus; Ischemic stroke; Mechanical thrombectomy; Thrombolysis; Acute stroke
• ISSN: 0735-6757; 1532-8171; 1532-8171
• DOI: 10.1016/j.ajem.2020.05.018

To present guidance for clinicians caring for adult patients with acuteischemic stroke with confirmed or suspected COVID-19 infection. The summary was prepared after review of systematic literature reviews,reference to previously published stroke guidelines, personal files, and expert opinionby members from 18 countries. The document includes practice implications for evaluation of stroke patientswith caution for stroke team members to avoid COVID-19 exposure, during clinicalevaluation and conduction of imaging and laboratory procedures with specialconsiderations of intravenous thrombolysis and mechanical thrombectomy in strokepatients with suspected or confirmed COVID-19 infection. Conclusions—The summary is expected to guide clinicians caring for adult patientswith acute ischemic stroke who are suspected of, or confirmed, with COVID-19infection.