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2.
J Stroke Cerebrovasc Dis ; 29(11): 105181, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33066945

RESUMEN

COVID-19 pandemic has led to a change in the way we manage acute medical illnesses. This pandemic had a negative impact on stroke care worldwide. The World Stroke Organization (WSO) has raised concerns due to the lack of available care and compromised acute stroke services globally. The numbers of thrombolysis and thrombectomy therapies are declining. As well as, the rates and door-to treatment times for thrombolysis and thrombectomy therapies are increasing. The stroke units are being reallocated to serve COVID-19 patients, and stroke teams are being redeployed to COVID-19 centers. Covid 19 confirmed cases and deaths are rising day by day. This pandemic clearly threatened and threatening all stroke care achievements regionally. Managing stroke patients during this pandemic is even more challenging at our region. The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) is the main stroke organization regionally. MENA-SINO urges the need to developing new strategies and recommendations for stroke care during this pandemic. This will require multiple channels of interventions and create a protective code stroke with fast triaging path. Developing and expanding the tele-stroke programs are urgently required. There is an urgent need for enhancing collaboration and cooperation between stroke expertise regionally and internationally. Integrating such measures will inevitably lead to an improvement and upgrading of the services to a satisfactory level.


Asunto(s)
Infecciones por Coronavirus/terapia , Prestación Integrada de Atención de Salud/normas , Neumonía Viral/terapia , Accidente Cerebrovascular/terapia , Trombectomía/normas , Terapia Trombolítica/normas , África del Norte/epidemiología , COVID-19 , Consenso , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Infecciones por Coronavirus/virología , Humanos , Medio Oriente/epidemiología , Pandemias , Seguridad del Paciente , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Neumonía Viral/virología , Pautas de la Práctica en Medicina/normas , Distancia Psicológica , Cuarentena , Medición de Riesgo , Factores de Riesgo , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/epidemiología , Telemedicina/normas , Factores de Tiempo , Resultado del Tratamiento , Triaje/normas
3.
Pacing Clin Electrophysiol ; 42(1): 104-106, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30156304

RESUMEN

Cerebral air embolism is a potentially life-threatening complication of left-sided ablation procedures. We present a 51-year-old woman with cerebral air embolism during atrial fibrillation cryoballoon ablation. Taking a deep breath while removing the dilatator was the most likely mechanism in our case. The patient was successfully treated with hyperbaric oxygen therapy at early stage and was discharged without any neurological sequelae.


Asunto(s)
Fibrilación Atrial/cirugía , Criocirugía/efectos adversos , Embolia Aérea/etiología , Embolia Aérea/terapia , Oxigenoterapia Hiperbárica , Embolia Intracraneal/etiología , Embolia Intracraneal/terapia , Femenino , Humanos , Persona de Mediana Edad
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