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Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Neuroimaging 2021 ; 31 (1): 171-179 Nephropedia Template TP
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Changes in Neuroendovascular Procedural Volume During the COVID-19 Pandemic: An International Multicenter Study #MMPMID33227167
Qureshi AI; Agunbiade S; Huang W; Akhtar IN; Abraham MG; Akhtar N; Al-Mufti F; Aytac E; Balgetir F; Grigoryan M; Gomez CR; Hassan AE; Jani V; Janjua NA; Jiao L; Khatri R; Kirmani JF; Kobayashi A; Kozak O; Lee J; Lobanova I; Mansour OY; Maud A; Mazighi M; Piotin M; Rodriguez GJ; Siddiq F; Suri MFK; Tekle WG
J Neuroimaging 2021[Jan]; 31 (1): 171-179 PMID33227167show ga
BACKGROUND AND PURPOSE: The effect of coronavirus disease 2019 (COVID-19) pandemic on performance of neuroendovascular procedures has not been quantified. METHODS: We performed an audit of performance of neuroendovascular procedures at 18 institutions (seven countries) for two periods; January-April 2019 and 2020, to identify changes in various core procedures. We divided the region where the hospital was located based on the median value of total number of COVID-19 cases per 100,00 population-into high and low prevalent regions. RESULTS: Between 2019 and 2020, there was a reduction in number of cerebral angiograms (30.9% reduction), mechanical thrombectomy (8% reduction), carotid artery stent placement for symptomatic (22.7% reduction) and asymptomatic (43.4% reduction) stenoses, intracranial angioplasty and/or stent placement (45% reduction), and endovascular treatment of unruptured intracranial aneurysms (44.6% reduction) and ruptured (22.9% reduction) and unruptured brain arteriovenous malformations (66.4% reduction). There was an increase in the treatment of ruptured intracranial aneurysms (10% increase) and other neuroendovascular procedures (34.9% increase). There was no relationship between procedural volume change and intuitional location in high or low COVID-19 prevalent regions. The procedural volume reduction was mainly observed in March-April 2020. CONCLUSIONS: We provided an international multicenter view of changes in neuroendovascular practices to better understand the gaps in provision of care and identify individual procedures, which are susceptible to change.