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Changes in Neuroendovascular Procedural Volume During the COVID‐19 Pandemic: An International Multicenter Study
Author(s) -
Qureshi Adnan I.,
Agunbiade Samiat,
Huang Wei,
Akhtar Iqra N.,
Abraham Michael G.,
Akhtar Naveed,
AlMufti Fawaz,
Aytac Emrah,
Balgetir Ferhat,
Grigoryan Mikayel,
Gomez Camilo R.,
Hassan Ameer E.,
Jani Vishal,
Janjua Nazli A.,
Jiao Liqun,
Khatri Rakesh,
Kirmani Jawad F.,
Kobayashi Adam,
Kozak Osman,
Lee Jun,
Lobanova Iryna,
Mansour Ossama Yassin,
Maud Alberto,
Mazighi Mikael,
Piotin Michel,
Rodriguez Gustavo J.,
Siddiq Farhan,
Suri M. Fareed K.,
Tekle Wondwossen G.
Publication year - 2020
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon.12803
Subject(s) - medicine , covid-19 , pandemic , volume (thermodynamics) , multicenter study , virology , outbreak , randomized controlled trial , infectious disease (medical specialty) , disease , physics , quantum mechanics
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.