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10.1159/000517381

http://scihub22266oqcxt.onion/10.1159/000517381
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34304229!8339013!34304229
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suck abstract from ncbi


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pmid34304229      Eur+Neurol 2021 ; 84 (6): 481-485
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  • Reallocation of Carotid Surgery Activity with the Support of Telemedicine in a COVID-Free Clinic during COVID-19 Pandemic #MMPMID34304229
  • Troisi N; Cincotta M; Cardinali C; Battista D; Alberti A; Tramacere L; Michelagnoli S; Chisci E
  • Eur Neurol 2021[]; 84 (6): 481-485 PMID34304229show ga
  • The aim of this study is to report the reallocation of carotid surgery activity with the support of telemedicine in a COVID-free clinic during COVID-19 pandemic. Patients with symptomatic carotid stenosis or asymptomatic vulnerable plaques were reallocated to a COVID-free private clinic which began to cooperate with the National Health System during the emergency. Quick training of staff nurses was performed. Surgeons moved to the COVID-19 free clinic. Remote cerebral monitoring was performed with the support of telemedicine. Twenty-four patients underwent standard carotid endarterectomy with eversion technique. Five patients (20.8%) had recently symptomatic stenosis, and the remaining 19 patients (79.2%) had a risky asymptomatic carotid stenosis. No technical issue with remote cerebral monitoring was detected. In the early postoperative period, no neurological/systemic complication was observed. Three patients under dual antiplatelet therapy (12.5%) had neck hematoma. All patients were discharged the day after surgery. In our preliminary experience, reallocation in a COVID-free clinic allowed us to maintain a functioning carotid surgery activity during COVID-19 pandemic. A multidisciplinary approach and support of telemedicine were crucial. Training of unskilled nurse staff was necessary.
  • |*COVID-19[MESH]
  • |*Carotid Stenosis/epidemiology/surgery[MESH]
  • |*Endarterectomy, Carotid[MESH]
  • |*Telemedicine[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]


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