Ischemic Stroke and COVID-19 Infection: an Analysis of Treatment Outcomes in Patients who Underwent Endovascular Thrombectomy
- Authors: Yakovlev A.I.1, Voznyuk I.A.2,3, Kharitonova T.V.4, Savello A.V.3, Prokhorova M.V.2, Kolomentsev S.V.3,5, Tsurikova N.А.6
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Affiliations:
- Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
- Pavlov First Saint Petersburg State Medical University Russia
- Immanuel Kant Baltic Federal University
- National Society of Neurosonology and Cerebral Hemodynamics
- Kirov Military Medical Academy
- Regional Children’s Clinical Hospital
- Issue: Vol 18, No 1 (2024)
- Pages: 55-62
- Section: Original articles
- URL: https://journals.rcsi.science/2075-5473/article/view/255205
- DOI: https://doi.org/10.54101/ACEN.2024.1.6
- ID: 255205
Cite item
Abstract
Aim. This study aimed to compare and evaluate treatment outcomes in groups of ischemic stroke patients with or without COVID-19 infection who underwent endovascular thrombectomy (EVT).
Materials and methods. We conducted a retrospective analysis of 817 case records of IS patients aged 25 to 99 years with confirmed thrombotic occlusion of cerebral arteries and subsequent EVT who were treated in regional vascular centers in St. Petersburg from January 1, 2021
to December 31, 2021.
Results. Patients without COVID-19 had favorable outcome more often than patients with confirmed COVID-19 (35.0% vs. 7.3%, p < 0.001); mortality rate was 30% vs. 52%, respectively (p < 0.001).
Conclusions. Intercurrent COVID-19 significantly worsened prognosis and increased risk of death in ischemic stroke patients who underwent EVT.
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##article.viewOnOriginalSite##About the authors
Alexander I. Yakovlev
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Author for correspondence.
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0001-7648-4388
neurologist
Russian Federation, Saint-PetersburgIgor A. Voznyuk
Pavlov First Saint Petersburg State Medical University Russia; Immanuel Kant Baltic Federal University
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0002-0340-4110
D. Sci. (Med.), Professor
Russian Federation, Saint-Petersburg; KaliningradTatiana V. Kharitonova
National Society of Neurosonology and Cerebral Hemodynamics
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0003-4021-9421
secretary, Board of the Association
Russian Federation, Saint-PetersburgAlexander V. Savello
Immanuel Kant Baltic Federal University
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0002-1680-6119
D. Sci. (Med.), Professor, Deputy Head, Department of neurosurgery
Russian Federation, KaliningradMariia V. Prokhorova
Pavlov First Saint Petersburg State Medical University Russia
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0003-3412-0038
neurologist, Department of neurology for patients with acute cerebrovascular accident of the clini
Russian Federation, Saint-PetersburgSergey V. Kolomentsev
Immanuel Kant Baltic Federal University; Kirov Military Medical Academy
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0002-3756-6214
Cand. Sci. (Med.), senior researcher, Head, Neurological department, Clinic of Nervous Diseases
Russian Federation, Kaliningrad; Saint-PetersburgNadezhda А. Tsurikova
Regional Children’s Clinical Hospital
Email: yakovlevai92@yandex.ru
ORCID iD: 0000-0002-3946-430X
Cand. Sci. (Med.), pediatrician, Neurological department
Russian Federation, Rostov-on-DonReferences
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