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Comparison of radiological and clinical characteristics of COVID-19 positive and negative ischemic stroke patients undergoing revascularization: A single-centre Turkish study.
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- Author(s): Ünverdi CM;Ünverdi CM; Haki C; Haki C; Saraç K; Saraç K; Kamışlı S; Kamışlı S
- Source:
Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2024 Jul; Vol. 242, pp. 108324. Date of Electronic Publication: 2024 May 09.- Publication Type:
Journal Article; Comparative Study- Language:
English - Source:
- Additional Information
- Source: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7502039 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6968 (Electronic) Linking ISSN: 03038467 NLM ISO Abbreviation: Clin Neurol Neurosurg Subsets: MEDLINE
- Publication Information: Publication: Amsterdam : Elsevier
Original Publication: Assen, Van Gorcum. - Subject Terms: COVID-19*/complications ; COVID-19*/diagnostic imaging ; Ischemic Stroke*/diagnostic imaging ; Ischemic Stroke*/surgery ; Cerebral Revascularization*/methods; Humans ; Male ; Female ; Aged ; Middle Aged ; Retrospective Studies ; Turkey/epidemiology ; Endovascular Procedures/methods ; Thrombolytic Therapy ; Aged, 80 and over ; Treatment Outcome
- Abstract: Objective: We aimed to compare the radiological and clinical characteristics of COVID-19-positive and -negative acute ischemic stroke (AIS) patients who underwent revascularization and to evaluate whether COVID-19 has an effect on revascularization and outcome in AIS patients with COVID-19 infection.
Methods: Consecutive COVID-19 positive and negative AIS patients who underwent intravenous thrombolysis and/or endovascular therapy in our hospital between March 2020 and February 2022 were included in this study. Our study is retrospective and 23 COVID-19 positive patients and 108 COVID-19 negative patients were compared in terms of radiological and clinical characteristics.
Results: Hypertension was lower in the COVID-19 positive ischemic stroke group (p=0.029). Admission NIHSS score was higher in COVID-19 positive patients (p=0.041). ASPECTS was found to be lower in COVID-19 positive ischemic stroke patients (p=0.019). The rate of hyperdense artery sign differed between groups (p=0.014) and was higher in the COVID-19 positive ischemic stroke group. The incidence of multi-vessel occlusion was found to be significantly higher in the COVID-19-positive ischemic stroke group (p=0.002). In terms of prognostic features, only the 3-month good outcome rate was statistically significantly lower in the COVID-19-positive ischemic stroke group (p=0.011).
Conclusion: This study found that radiologically, COVID-19 may be associated with lower ASPECTS in ischemic stroke patients receiving revascularization treatment and may predispose to multivessel occlusion and hyperdense artery sign. Clinically, COVID-19 may be associated with a more severe initial presentation and worse prognosis at 3 months in ischemic stroke patients undergoing revascularization, but may not affect long-term mortality.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2024 Elsevier B.V. All rights reserved.) - Contributed Indexing: Keywords: COVID-19; Ischemic stroke; Mortality; Thrombectomy; Thrombolytic therapy
- Publication Date: Date Created: 20240515 Date Completed: 20240614 Latest Revision: 20240620
- Publication Date: 20240620
- Accession Number: 10.1016/j.clineuro.2024.108324
- Accession Number: 38749359
- Source:
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