Anesthetic Management for Endovascular Treatment of Stroke in Patients With Coronavirus Disease 2019: A Case Series.

A A Pract

From the Department of Anesthesiology, Columbia University Medical Center, NewYork-Presbyterian Hospital, New York, New York.

Published: May 2021

AI Article Synopsis

  • A notable number of COVID-19 patients experience strokes due to large vessel obstructions that may necessitate endovascular treatments for restoration of blood flow.
  • Our study examined the procedural challenges and anesthetic management of 5 COVID-positive patients who received endovascular interventions between March and mid-June 2020.
  • The patients presented uniquely with symptoms such as hypercoagulability, hypoxia, and an absence of hypertension, distinguishing them from typical ischemic stroke patients.

Article Abstract

A significant number of patients with coronavirus disease 2019 develop strokes with large vessel obstructions that may require endovascular treatment for revascularization. Our series focuses on periprocedural issues and the anesthetic management of these patients. We analyzed medical records of 5 patients with positive reverse transcription polymerase chain reaction tests for severe acute respiratory syndrome coronavirus 2 during their hospitalization who underwent endovascular treatment at our hospital between March and mid-June 2020. We found that our patients were different from the typical patients with ischemic stroke in that they had signs of hypercoagulability, hypoxia, and a lack of hypertension at presentation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8330626PMC
http://dx.doi.org/10.1213/XAA.0000000000001458DOI Listing

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