Global impact of COVID-19 on stroke care
Por:
Nogueira, RG, Abdalkader, M, Qureshi, MM, Frankel, MR, Mansour, OY, Yamagami, H, Qiu, ZM, Farhoudi, M, Siegler, JE, Yaghi, S, Raz, E, Sakai, N, Ohara, N, Piotin, M, Mechtouff, L, Eker, O, Chalumeau, V, Kleinig, TJ, Pop, R, Liu, JM, Winters, HS, Shang, XJ, Vasquez, AR, Blasco, J, Arenillas, JF, Martinez-Galdamez, M, Brehm, A, Psychogios, MN, Lylyk, P, Haussen, DC, Al-Bayati, AR, Mohammaden, MH, Fonseca, L, Silva, ML, Montalverne, F, Renieri, L, Mangiafico, S, Fischer, U, Gralla, J, Frei, D, Chugh, C, Mehta, BP, Nagel, S, Mohlenbruch, M, Ortega-Gutierrez, S, Farooqui, M, Hassan, AE, Taylor, A, Lapergue, B, Consoli, A, Campbell, BCV, Sharma, M, Walker, M, Van Horn, N, Fiehler, J, Nguyen, HT, Nguyen, QT, Watanabe, D, Zhang, H, Le, HV, Nguyen, VQ, Shah, R, Devlin, T, Khandelwal, P, Linfante, I, Izzath, W, Lavados, PM, Olavarria, VV, Silva, GS, Sousa, AVD, Kirmani, J, Bendszus, M, Amano, T, Yamamoto, R, Doijiri, R, Tokuda, N, Yamada, T, Terasaki, T, Yazawa, Y, Morris, JG, Griffin, E, Thornton, J, Lavoie, P, Matouk, C, Hill, MD, Demchuk, AM, Killer-Oberpfalzer, M, Nahab, F, Altschul, D, Ramos-Pachon, A, de la Ossa, NP, Kikano, R, Boisseau, W, Walker, G, Cordina, SM, Puri, A, Kuhn, AL, Gandhi, D, Ramakrishnan, P, Novakovic-White, R, Chebl, A, Kargiotis, O, Czap, A, Zha, A, Masoud, HE, Lopez, C, Ozretic, D, Al-Mufti, F, Zie, WJ, Duan, ZH, Yuan, ZZ, Huang, WG, Hao, YG, Luo, J, Kalousek, V, Bourcier, R, Guile, R, Hetts, S, Al-Jehani, HM, AlHazzani, A, Sadeghi-Hokmabadi, E, Teleb, M, Payne, J, Lee, JS, Hong, JM, Sohn, SI, Hwang, YH, Shin, DH, Roh, HG, Edgell, R, Khatri, R, Smith, A, Malik, A, Liebeskind, D, Herial, N, Jabbour, P, Magalhaes, P, Ozdemir, AO, Aykac, O, Uwatoko, T, Dembo, T, Shimizu, H, Sugiura, Y, Miyashita, F, Fukuda, H, Miyake, K, Shimbo, J, Sugimura, Y, Beer-Furlan, A, Joshi, K, Catanese, L, Abud, DG, Neto, OP, Mehrpour, M, Al Hashmi, A, Saqqur, M, Mostafa, A, Fifi, JT, Hussain, S, John, S, Gupta, R, Sivan-Hoffmann, R, Reznik, A, Sani, AF, Geyik, S, Akil, ECR, Churojana, A, Ghoreishi, A, Saadatnia, M, Sharifipour, E, Ma, A, Faulder, K, Wu, T, Leung, L, Malek, A, Voetsch, B, Wakhloo, A, Rivera, R, Iman, DMB, Pikula, A, Lioutas, VA, Thomalla, G, Birnbaum, L, Machi, P, Bernava, G, McDermott, M, Kleindorfer, D, Wong, K, Patterson, MS, Fiorot, JA, Huded, V, Mack, W, Tenser, M, Eskey, C, Multani, S, Kelly, M, Janardhan, V, Cornett, O, Singh, V, Murayama, Y, Mokin, M, Yang, PF, Zhang, XX, Yin, CG, Han, HX, Peng, Y, Chen, WH, Crosa, R, Frudit, ME, Pandian, JD, Kulkarni, A, Yagita, Y, Takenobu, Y, Matsumaru, Y, Yamada, S, Kono, R, Kanamaru, T, Yamazaki, H, Sakaguchi, M, Todo, K, Yamamoto, N, Sonoda, K, Yoshida, T, Hashimoto, H, Nakahara, I, Cora, E, Volders, D, Ducroux, C, Shoamanesh, A, Ospel, J, Kaliaev, A, Ahmed, S, Rashid, U, Rebello, LC, Pereira, VM, Fahed, R, Chen, M, Sheth, SA, Palaiodimou, L, Tsivgoulis, G, Chandra, R, Koyfman, F, Leung, T, Khosravani, H, Dharmadhikari, S, Frisullo, G, Calabresi, P, Tsiskaridze, A, Lobjanidze, N, Grigoryan, M, Czlonkowska, A, de Sousa, DA, Demeestere, J, Liang, C, Sangha, N, Lutsep, HL, Ayo-Martin, O, Cruz-Culebras, A, Tran, AD, Young, CY, Cordonnier, C, Caparros, F, De Lecinana, MA, Fuentes, B, Yavagal, D, Jovin, T, Spelle, L, Moret, J, Khatri, P, Zaidat, O, Raymond, J, Martins, S, Nguyen, T
Publicada:
1 jul 2021
Ahead of Print:
1 mar 2021
Resumen:
Background
The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide.
Aims
We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March-31 May 2020) compared with two control three-month periods (immediately preceding and one year prior).
Methods
Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers.
Results
The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, -19.7 to -18.7), 11.5% (95%CI, -12.6 to -10.6), and 12.7% (95%CI, -13.6 to -11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (-20.5%) had greater declines in mechanical thrombectomy volumes than mid- (-10.1%) and low-volume (-8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions.
Conclusion
The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
Filiaciones:
Nogueira, RG:
Emory Univ, Grady Mem Hosp, Neurol, Atlanta, GA 30322 USA
Abdalkader, M:
Boston Univ, Sch Med, Boston Med Ctr, Radiol, Boston, MA 02118 USA
Qureshi, MM:
Boston Univ, Sch Med, Boston Med Ctr, Radiol,Radiat Oncol, Boston, MA 02118 USA
Frankel, MR:
Emory Univ, Grady Mem Hosp, Neurol, Atlanta, GA 30322 USA
Mansour, OY:
Alexandria Univ, Alexandria Univ Hosp, Stroke & Neurointervent Div, Dept Neurol, Alexandria, Egypt
Yamagami, H:
Osaka Natl Hosp, Natl Hosp Org, Stroke Neurol, Osaka, Japan
Qiu, ZM:
Army Med Univ, Xinqiao Hosp, Neurol, Chongqing, Peoples R China
Farhoudi, M:
Tabriz Univ, Tabriz, Iran
Siegler, JE:
Cooper Univ Hosp, Cooper Neurol Inst, Neurol, Camden, NJ USA
Yaghi, S:
NYU, Sch Med, Neurol, Radiol, New York, NY USA
Raz, E:
NYU, Sch Med, Radiol, Neurol, New York, NY USA
Sakai, N:
Kobe City Med Ctr Gen Hosp, Neurosurg, Kobe, Hyogo, Japan
Ohara, N:
Kobe City Med Ctr Gen Hosp, Neurol, Kobe, Hyogo, Japan
Piotin, M:
Fdn Ophtalmol Adolphe Rothschild, Paris, France
Mechtouff, L:
Hosp Civils Lyon, Neurol, Lyon, France
Eker, O:
Hosp Civils Lyon, Neuroradiol, Lyon, France
Chalumeau, V:
Hop Bicetre, Paris, France
Kleinig, TJ:
Royal Adelaide Hosp, Adelaide, SA, Australia
Pop, R:
Hop Univ Strasbourg, Strasbourg, France
Liu, JM:
Changhai Hosp, Shanghai, Peoples R China
Winters, HS:
Royal Prince Alfred Hosp, Sydney, NSW, Australia
Shang, XJ:
Wannan Med Coll, Yijishan Hosp, Wuhu, Peoples R China
Vasquez, AR:
Hosp Clin Barcelona, Neurol, Barcelona, Spain
Blasco, J:
Hosp Clin Barcelona, Intervent Neuroradiol, Barcelona, Spain
Arenillas, JF:
Hosp Clin Univ, Neurol, Valladolid, Spain
Martinez-Galdamez, M:
Hosp Clin Univ, Intervent Neuroradiol, Valladolid, Spain
Brehm, A:
Univ Hosp Basel, Basel, Switzerland
Psychogios, MN:
Univ Hosp Basel, Basel, Switzerland
Lylyk, P:
Clin Sagrada Familia, Buenos Aires, DF, Argentina
Haussen, DC:
Emory Univ, Grady Mem Hosp, Neurol, Atlanta, GA 30322 USA
Al-Bayati, AR:
Emory Univ, Grady Mem Hosp, Neurol, Atlanta, GA 30322 USA
Mohammaden, MH:
Emory Univ, Grady Mem Hosp, Neurol, Atlanta, GA 30322 USA
Fonseca, L:
Ctr Hosp Univ Sao Joao, Stroke, Porto, Portugal
Silva, ML:
Ctr Hosp Univ Sao Joao, Neuroradiol, Porto, Portugal
Montalverne, F:
Hosp Geral de Fortaleza, Fortaleza, Ceara, Brazil
Renieri, L:
Careggi Univ Hosp, Florence, Italy
Mangiafico, S:
Careggi Univ Hosp, Florence, Italy
Fischer, U:
Univ Hosp Bern, Neurol, Bern, Switzerland
Gralla, J:
Univ Hosp Bern, Intervent Neuroradiol, Bern, Switzerland
Frei, D:
Swedish Med Ctr, Englewood, CO 80110 USA
Chugh, C:
MAX Superspecialty Hosp, New Delhi, India
Mehta, BP:
Mem Neurosci Inst, Aventura, FL USA
Nagel, S:
Univ Hosp Heidelberg, Neurol, Heidelberg, Germany
Mohlenbruch, M:
Univ Hosp Heidelberg, Neuroradiol, Heidelberg, Germany
Ortega-Gutierrez, S:
Univ Iowa, Neurol, Iowa City, IA 52242 USA
Farooqui, M:
Univ Iowa, Neurol, Iowa City, IA 52242 USA
Hassan, AE:
Valley Baptist Med Ctr, Neurosci, Harlingen, TX USA
Taylor, A:
Univ Cape Town, Neurosurg, Cape Town, South Africa
Lapergue, B:
Hop Foch, Neurol, Suresnes, France
Consoli, A:
Hop Foch, Intervent Neuroradiol, Suresnes, France
Campbell, BCV:
Royal Melbourne Hosp, Melbourne, Vic, Australia
Sharma, M:
Univ Washington, Neurol, Seattle, WA 98195 USA
Walker, M:
Univ Washington, Neurosurg, Seattle, WA 98195 USA
Van Horn, N:
Univ Klinikum Hamburg Eppendorf, Intervent Neuroradiol, Hamburg, Germany
Fiehler, J:
Univ Klinikum Hamburg Eppendorf, Intervent Neuroradiol, Hamburg, Germany
Nguyen, HT:
Peoples 115 Hosp, Ho Chi Minh City, Vietnam
Nguyen, QT:
Peoples 115 Hosp, Ho Chi Minh City, Vietnam
Watanabe, D:
IMS Tokyo Katsushika Gen Hosp, Tokyo, Japan
Zhang, H:
Affiliated Hangzhou First Peoples Hosp, Hangzhou, Zhejiang, Peoples R China
Le, HV:
Hue Cent Hosp, Hue, Vietnam
Nguyen, VQ:
Hue Cent Hosp, Hue, Vietnam
Shah, R:
Erlanger Med Ctr, Chattanooga, TN USA
Devlin, T:
Erlanger Med Ctr, Chattanooga, TN USA
Khandelwal, P:
Rutgers State Univ, Piscataway, NJ USA
Linfante, I:
Miami Cardiac & Vasc Inst, Miami, FL USA
Izzath, W:
Nottingham Univ Hosp, Nottingham, England
Lavados, PM:
Univ Desarrollo, Clin Alemana, Concepcion, Chile
Olavarria, VV:
Univ Desarrollo, Clin Alemana, Concepcion, Chile
Silva, GS:
Univ Fed Sao Paulo, Hosp Israelita Albert Einstein, Sao Paulo, Brazil
Sousa, AVD:
Hosp Israelita Albert Einstein, Sao Paulo, Brazil
Kirmani, J:
Hackensack Meridian Hlth, Hackensack, NJ USA
Bendszus, M:
Univ Hosp Heidelberg, Neuroradiol, Heidelberg, Germany
Amano, T:
Kyorin Univ, Japan 64 Yokohama Brain & Spine Ctr, Hachioji, Tokyo, Japan
Doijiri, R:
Iwate Cent Prefectural Hosp, Morioka, Iwate, Japan
Tokuda, N:
Japanese Red Cross Kyoto Daiichi Hosp, Kyoto, Japan
Yamada, T:
Kyoto Second Red Cross Hosp, Kyoto, Japan
Terasaki, T:
Japanese Red Cross Kumamoto Hosp, Kumamoto, Japan
Yazawa, Y:
Kohnan Hosp, Sendai, Miyagi, Japan
Morris, JG:
Maine Med Ctr, Neurol, Portland, ME USA
Griffin, E:
Beaumont Hosp, Dublin, Ireland
Thornton, J:
Beaumont Hosp, Dublin, Ireland
Lavoie, P:
Hop Enfants Jesus, Quebec City, PQ, Canada
Matouk, C:
Yale New Haven Med Ctr, 20 York St, New Haven, CT 06504 USA
Hill, MD:
Univ Calgary, Neurol, Calgary, AB, Canada
Demchuk, AM:
Univ Calgary, Neurol, Calgary, AB, Canada
Killer-Oberpfalzer, M:
Univ Hosp Salzburg, Salzburg, Austria
Nahab, F:
Emory Univ, Sch Med, Atlanta, GA 30322 USA
Altschul, D:
Valley Hosp, Ridgewood, NJ USA
Ramos-Pachon, A:
Univ Hosp Germans Trias & Pujol, Barcelona, Spain
Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
de la Ossa, NP:
Univ Hosp Germans Trias & Pujol, Barcelona, Spain
Kikano, R:
Lau Med Ctr, Beirut, Lebanon
Boisseau, W:
CHU Montreal, Montreal, PQ, Canada
Walker, G:
Univ Ottawa, Ottawa, ON, Canada
Cordina, SM:
Univ S Alabama, Mobile, AL USA
Puri, A:
Univ Massachusetts, Med Ctr, Amherst, MA 01003 USA
Kuhn, AL:
Univ Massachusetts, Med Ctr, Amherst, MA 01003 USA
Gandhi, D:
Univ Maryland, College Pk, MD 20742 USA
Ramakrishnan, P:
Riverside Reg Med Ctr, Newport News, VA USA
Novakovic-White, R:
UT Southwestern, Dallas, TX USA
Chebl, A:
Henry Ford Hlth Syst, Detroit, MI USA
Kargiotis, O:
Metropolitan Hosp, Piraeus, Greece
Czap, A:
UTHlth McGovern Med Sch, Houston, TX USA
Zha, A:
UTHlth McGovern Med Sch, Houston, TX USA
Masoud, HE:
SUNY Upstate Med Univ Hosp, Syracuse, NY USA
Lopez, C:
SUNY Upstate Med Univ Hosp, Syracuse, NY USA
Ozretic, D:
Univ Hosp Ctr Zagreb, Zagreb, Croatia
Al-Mufti, F:
Westchester Med Ctr, Valhalla, NY USA
Zie, WJ:
Army Med Univ, Xinqiao Hosp, Xian, Shaanxi, Peoples R China
Duan, ZH:
Wuhan 1 Hosp, Wuhan, Hubei, Peoples R China
Yuan, ZZ:
Southwest Med Univ, Affiliated Hosp, Luzhou, Peoples R China
Huang, WG:
Maoming Tradit Chinese Med Hosp, Maoming, Peoples R China
Hao, YG:
Shaw Shaw Hosp, Hangzhou, Zhejiang, Peoples R China
Luo, J:
Mianyang 404 Hosp, Mianyang, Sichuan, Peoples R China
Kalousek, V:
Univ Clin Hosp Ctr Sestre Milosrdnice, Zagreb, Croatia
Bourcier, R:
CHU Nantes, Nantes, France
Guile, R:
CHU Nantes, Nantes, France
Hetts, S:
Univ Calif San Francisco, San Francisco, CA 94143 USA
Al-Jehani, HM:
King Fahad Hosp Univ, Thuwal, Saudi Arabia
AlHazzani, A:
King Saud Univ, Riyadh, Saudi Arabia
Sadeghi-Hokmabadi, E:
Tabriz Univ, Tabriz, Iran
Teleb, M:
Banner Desert Med Ctr, Mesa, AZ USA
Payne, J:
Banner Desert Med Ctr, Mesa, AZ USA
Lee, JS:
Ajou Univ Hosp, Suwon, South Korea
Hong, JM:
Ajou Univ Hosp, Suwon, South Korea
Sohn, SI:
Kyemyung Univ, Daegu, South Korea
Hwang, YH:
Kyungpook Natl Univ Hosp, Daegu, South Korea
Shin, DH:
Gachon Univ, Gil Hosp, Seongnam, South Korea
Roh, HG:
Konkuk Univ Hosp, Seoul, South Korea
Edgell, R:
St Louis Univ, St Louis, MO 63103 USA
Khatri, R:
Texas Tech Univ, Lubbock, TX 79409 USA
Smith, A:
Cooper Univ Hosp, Camden, NJ USA
Malik, A:
Univ Miami, Coral Gables, FL 33124 USA
Liebeskind, D:
Univ Calif Los Angeles, Los Angeles, CA USA
Herial, N:
Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USA
Jabbour, P:
Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USA
Magalhaes, P:
Hosp Sao Jose, Rio De Janeiro, Brazil
Ozdemir, AO:
Eskisehir Osmangazi Univ, Eskisehir, Turkey
Aykac, O:
Eskisehir Osmangazi Univ, Eskisehir, Turkey
Uwatoko, T:
Saga Ken Med Ctr Koseikan, Saga, Japan
Dembo, T:
Saitama Med Ctr, Saitama, Japan
Shimizu, H:
Nara City Hosp, Nara, Japan
Sugiura, Y:
Toyonaka City Hosp, Toyonaka, Osaka, Japan
Miyashita, F:
Kagoshima City Hosp, Kagoshima, Japan
Fukuda, H:
Japanese Red Cross Matsue Hosp, Matsue, Shimane, Japan
Miyake, K:
Shiroyama Hosp, Ota, Japan
Shimbo, J:
Niigata City Gen Hosp, Niigata, Japan
Sugimura, Y:
Sugimura Hosp, Kumamoto, Japan
Beer-Furlan, A:
Rush Univ, Med Ctr, Chicago, IL 60612 USA
Joshi, K:
Rush Univ, Med Ctr, Chicago, IL 60612 USA
Catanese, L:
McMaster Univ, Neurol, Hamilton, ON, Canada
Abud, DG:
Ribeira Preto Med Sch, Intervent Neuroradiol, Ribeirao Preto, Brazil
Neto, OP:
Ribeira Preto Med Sch, Neurosci, Ribeirao Preto, Brazil
Mehrpour, M:
Shahid Beheshti Univ, Tehran, Iran
Al Hashmi, A:
Minist Hlth, Khoula Hosp, Muscat, Oman
Saqqur, M:
Hamad Med Corp, Doha, Qatar
Mostafa, A:
Egypt Hamad Med Corp, Alexandria Univ Hosp, Alexandria, Qatar
Fifi, JT:
Mt Sinai Hlth Syst, New York, NY USA
Hussain, S:
Cleveland Clin Abu Dhabi, Abu Dhabi, U Arab Emirates
John, S:
Cleveland Clin Abu Dhabi, Abu Dhabi, U Arab Emirates
Gupta, R:
WellStar Hlth, Marietta, GA USA
Sivan-Hoffmann, R:
Rambam Hlth Care, Haifa, Israel
Reznik, A:
Rambam Hlth Care, Haifa, Israel
Sani, AF:
Gen Hosp Dr Soetomo, Surabaya, Indonesia
Geyik, S:
Istanbul Aydin Univ, Istanbul, Turkey
Akil, ECR:
Istanbul Aydin Univ, Istanbul, Turkey
Churojana, A:
Siriraj Hosp, Bangkok, Thailand
Ghoreishi, A:
Hop Enfants Jesus, Quebec City, PQ, Canada
Zanjan Univ, Zanjan, Iran
Saadatnia, M:
Isfahan Univ, Esfahan, Iran
Sharifipour, E:
Qom Univ, Qom, Iran
Ma, A:
Royal North Shore Hosp, St Leonards, NSW, Australia
Faulder, K:
Royal North Shore Hosp, St Leonards, NSW, Australia
Wu, T:
Christchurch Hosp, Christchurch, New Zealand
Leung, L:
Tufts Med Ctr, Neurol, Boston, MA 02111 USA
Malek, A:
Tufts Med Ctr, Neurosurg, Boston, MA 02111 USA
Voetsch, B:
Beth Israel Lahey Hlth, Neurol, Boston, MA USA
Wakhloo, A:
Beth Israel Lahey Hlth, Intervent Neuroradiol, Boston, MA USA
Rivera, R:
Inst Neurocirugia Dr Asengo, Neuroradiol, Providencia, Chile
Iman, DMB:
Natl Inst Neurol Sci Lima, Lima, Peru
Pikula, A:
Univ Toronto, Toronto, ON, Canada
Lioutas, VA:
Beth Israel Lahey Hlth, Neurol, Boston, MA USA
Thomalla, G:
Univ Klinikum Hamburg Eppendorf, Neurol, Hamburg, Germany
Birnbaum, L:
Univ Texas San Antonio, San Antonio, TX USA
Machi, P:
Univ Hosp Geneva, Geneva, Switzerland
Bernava, G:
Univ Hosp Geneva, Geneva, Switzerland
McDermott, M:
Univ Michigan, Ann Arbor, MI 48109 USA
Kleindorfer, D:
Univ Michigan, Ann Arbor, MI 48109 USA
Wong, K:
Royal London Hosp, London, England
Patterson, MS:
Bon Secours Mercy Hlth, Cincinnati, OH USA
Fiorot, JA:
Hosp Estadual Cent, Campinas, SP, Brazil
Huded, V:
NH Mazumdar Shaw Med Ctr, Bengaluru, Karnataka, India
Mack, W:
Univ Southern Calif, Los Angeles, CA 90007 USA
Tenser, M:
Univ Southern Calif, Los Angeles, CA 90007 USA
Eskey, C:
Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA
Multani, S:
Bayhealth Med Ctr, Neurol, Delaware, OH USA
Kelly, M:
Univ Saskatchewan, Neurosurg, Saskatoon, SK, Canada
Janardhan, V:
Med City Plano Texas, Plano, TX USA
Cornett, O:
St Josephs Univ, Med Ctr, Philadelphia, PA 19131 USA
Singh, V:
St Josephs Univ, Med Ctr, Philadelphia, PA 19131 USA
Murayama, Y:
Jikei Univ, Sch Med, Tokyo, Japan
Mokin, M:
Univ S Florida, Tampa, FL 33620 USA
Yang, PF:
Changhai Hosp, Shanghai, Peoples R China
Zhang, XX:
Changhai Hosp, Shanghai, Peoples R China
Yin, CG:
Hangzhou First Peoples Hosp, Hangzhou, Zhejiang, Peoples R China
Han, HX:
Linyi City People Hosp, Linyi, Shandong, Peoples R China
Peng, Y:
First Peoples Hosp, Shanghai, Peoples R China
Chen, WH:
Zhangzhou Municipal Hosp, Zhangzhou, Peoples R China
Crosa, R:
Ctr Endovasc Neurol Med, Montevideo, Uruguay
Frudit, ME:
Univ Fed Sao Paulo, Sao Paulo, Brazil
Pandian, JD:
Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
Kulkarni, A:
Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
Yagita, Y:
Kawasaki Med Sch, Kawasaki, Kanagawa, Japan
Takenobu, Y:
Osaka Red Cross Hosp, Osaka, Japan
Matsumaru, Y:
Univ Tsukuba, Tsukuba, Ibaraki, Japan
Yamada, S:
Saiseikai Cent Hosp, Tokyo, Japan
Kono, R:
Kinikyochuo Hosp, Sapporo, Hokkaido, Japan
Kanamaru, T:
NTT Med Ctr, Tokyo, Japan
Yamazaki, H:
Yokohama Shintoshi Neurosurg Hosp, Yokohama, Kanagawa, Japan
Sakaguchi, M:
Osaka Gen Med Ctr, Osaka, Japan
Todo, K:
Osaka Univ, Grad Sch Med, Osaka, Japan
Yamamoto, N:
Univ Tokushima, Grad Sch Biomed Sci, Tokushima, Japan
Sonoda, K:
Saiseikai Fukuoka Gen Hosp, Fukuoka, Fukuoka, Japan
Yoshida, T:
Tane Gen Hosp, Osaka, Japan
Hashimoto, H:
Osaka Rosai Hosp, Osaka, Japan
Nakahara, I:
Fujita Hlth Univ, Sch Med, Toyoake, Aichi, Japan
Cora, E:
Dalhousie Univ, Halifax, NS, Canada
Volders, D:
Dalhousie Univ, Halifax, NS, Canada
Ducroux, C:
CHU Montreal, Montreal, PQ, Canada
Shoamanesh, A:
McMaster Univ, Hamilton, ON, Canada
Ospel, J:
Univ Calgary, Calgary, AB, Canada
Kaliaev, A:
Boston Med Ctr, Radiol, Boston, MA USA
Ahmed, S:
Lahore Gen Hosp, Lahore, Pakistan
Rashid, U:
Lahore Gen Hosp, Lahore, Pakistan
Rebello, LC:
Hosp Brasilia, Brasilia, DF, Brazil
Pereira, VM:
Univ Toronto, Toronto, ON, Canada
Fahed, R:
Univ Ottawa, Ottawa, ON, Canada
Chen, M:
Rush Univ, Med Ctr, Chicago, IL 60612 USA
Sheth, SA:
UTHlth McGovern Med Sch, Houston, TX USA
Palaiodimou, L:
Natl & Kapodistrian Univ Athens, Athens, Greece
Tsivgoulis, G:
Natl & Kapodistrian Univ Athens, Athens, Greece
Chandra, R:
Monash Med Ctr, Clayton, Vic, Australia
Koyfman, F:
New York Presbyterian Queens, New York, NY USA
Leung, T:
Prince Wales Hosp, Hong Kong, Peoples R China
Khosravani, H:
Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada
Dharmadhikari, S:
Baptist Hlth, Little Rock, AR USA
Frisullo, G:
Fdn Policlin Univ A Gemelli, Rome, Italy
Calabresi, P:
Fdn Policlin Univ A Gemelli, Rome, Italy
Tsiskaridze, A:
Ivane Javakhishvili Tbilisi State Univ, Tbilisi, Georgia
Lobjanidze, N:
Ivane Javakhishvili Tbilisi State Univ, Tbilisi, Georgia
Grigoryan, M:
Adventist Hlth Glendale, Glendale, CA USA
Czlonkowska, A:
Inst Psychiat & Neurol, Warsaw, Poland
de Sousa, DA:
Hosp Santa Maria, Santa Maria, RS, Portugal
Demeestere, J:
Leuven Univ Hosp, Leuven, Belgium
Liang, C:
Kaiser Permanente, Neurointervent Radiol, Oklahoma City, OK USA
Sangha, N:
Kaiser Permanente, Neurol, Oklahoma City, CA USA
Lutsep, HL:
Univ Oregon, Eugene, OR 97403 USA
Ayo-Martin, O:
Complejo Hosp Univ Albacete, Albacete, Spain
Cruz-Culebras, A:
Hosp Univ Ramon & Cajal, Unidad Ictus, Madrid, Spain
Tran, AD:
Hue Cent Hosp, Hue, Vietnam
Young, CY:
Asan Med Ctr, Seoul, South Korea
Cordonnier, C:
CHU Lille, Lille, France
Caparros, F:
CHU Lille, Lille, France
De Lecinana, MA:
La Paz Univ Hosp, Madrid, Spain
Fuentes, B:
La Paz Univ Hosp, Madrid, Spain
Yavagal, D:
Univ Miami, Coral Gables, FL 33124 USA
Jovin, T:
Cooper Univ Hosp, Camden, NJ USA
Spelle, L:
Hop Bicetre, Paris, France
Moret, J:
Hop Bicetre, Paris, France
Khatri, P:
Univ Cincinnati, Cincinnati, OH 45221 USA
Zaidat, O:
Bon Secours Mercy Hlth, Toledo, OH USA
Raymond, J:
CHU Montreal, Montreal, PQ, Canada
Martins, S:
Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
Nguyen, T:
Boston Med Ctr, Radiol, Neurol, Boston, MA USA
University Hospital Germans Trias i Pujol, Barcelona, Spain
Green Submitted, Green Published, hybrid
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