{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T22:43:31Z","timestamp":1783464211341,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuroimaging"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND AND PURPOSE<\/jats:title><jats:p>The effect of coronavirus disease 2019 (COVID\u201019) pandemic on performance of neuroendovascular procedures has not been quantified.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We performed an audit of performance of neuroendovascular procedures at 18 institutions (seven countries) for two periods; January\u2010April 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\u201019 cases per 100,00 population\u2010into high and low prevalent regions.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>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\u201019 prevalent regions. The procedural volume reduction was mainly observed in March\u2010April 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jon.12803","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T05:09:43Z","timestamp":1606194583000},"page":"171-179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Changes in Neuroendovascular Procedural Volume During the COVID\u201019 Pandemic: An International Multicenter Study"],"prefix":"10.1111","volume":"31","author":[{"given":"Adnan I.","family":"Qureshi","sequence":"first","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9937-1773","authenticated-orcid":false,"given":"Samiat","family":"Agunbiade","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"},{"name":"Division of Neurological Surgery University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9601-288X","authenticated-orcid":false,"given":"Iqra N.","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Abraham","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Radiology University of Kansas Medical Center  Kansas City KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveed","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Department of Neurointervention Marion Bloch Neuroscience Institute\/Saint Luke's Hospital  Kansas City MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawaz","family":"Al\u2010Mufti","sequence":"additional","affiliation":[{"name":"Departments of Neurology Neurosurgery and Radiology Westchester Medical Center at New York Medical College  Valhalla NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"Aytac","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute Department of Neurology University of FIRAT  Elazig Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferhat","family":"Balgetir","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute Department of Neurology University of FIRAT  Elazig Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikayel","family":"Grigoryan","sequence":"additional","affiliation":[{"name":"Adventist Health Glendale Comprehensive Stroke Center  Los Angeles CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo R.","family":"Gomez","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7148-7616","authenticated-orcid":false,"given":"Ameer E.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Texas Rio Grande Valley \u2010 Valley Baptist Medical Center  Harlingen TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Jani","sequence":"additional","affiliation":[{"name":"Department of Neurology Creighton University Medical Center\/CHI Health  Omaha NE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazli A.","family":"Janjua","sequence":"additional","affiliation":[{"name":"Asia Pacific Comprehensive Stroke Institute  Hilo HI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqun","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Xuanwu Hospital Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Khatri","sequence":"additional","affiliation":[{"name":"Department of Neurology Paul L. Foster School of Medicine Texas Tech University Health Sciences Center El Paso  El Paso TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawad F.","family":"Kirmani","sequence":"additional","affiliation":[{"name":"Stroke and Neurovascular Center Hackensack Meridian Health\u2010JFK University Medical Center  Hackensack NJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Neurology and Interventional Stroke Treatment Centre Kazimierz Pulaski University of Technology and Humanities  Radom Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Kozak","sequence":"additional","affiliation":[{"name":"Department of Neurology Jefferson Health Abington  Philadelphia PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology Yeungnam University School of Medicine  Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5500-6555","authenticated-orcid":false,"given":"Iryna","family":"Lobanova","sequence":"additional","affiliation":[{"name":"Zeenat Qureshi Stroke Institute and Department of Neurology University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8814-6431","authenticated-orcid":false,"given":"Ossama Yassin","family":"Mansour","sequence":"additional","affiliation":[{"name":"Department of Neurology, Stroke and Neurointervention Section Alexandria University Hospital, Faculty of medicine  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Maud","sequence":"additional","affiliation":[{"name":"Department of Neurology Paul L. Foster School of Medicine Texas Tech University Health Sciences Center El Paso  El Paso TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Mazighi","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology Rothschild Foundation  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Piotin","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology Rothschild Foundation  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo J.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Neurology Paul L. Foster School of Medicine Texas Tech University Health Sciences Center El Paso  El Paso TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhan","family":"Siddiq","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery University of Missouri  Columbia MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Fareed K.","family":"Suri","sequence":"additional","affiliation":[{"name":"St. Cloud Hospital  St. Cloud MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5556-5699","authenticated-orcid":false,"given":"Wondwossen G.","family":"Tekle","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Texas Rio Grande Valley \u2010 Valley Baptist Medical Center  Harlingen TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493020923234"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.030373"},{"key":"e_1_2_5_4_1","unstructured":"COVID\u201019: guidance for triage of non\u2010emergent surgical procedures. Available from:https:\/\/www.facs.org\/COVID-19\/clinical-guidance\/triage. Accessed July 16 2020."},{"key":"e_1_2_5_5_1","unstructured":"PecciAW.3 revenue cycle hurdles for resuming elective procedures. Available from:https:\/\/www.healthleadersmedia.com\/finance\/3-revenue-cycle-hurdles-resuming-elective-procedures. Accessed July 16 2020."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.05.018"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.016560"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.636076"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6569.2007.00210.x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00163-X"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4775"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.010764"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyy557"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0390-5616.20.04963-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/2020.2.JNS20148"},{"key":"e_1_2_5_16_1","unstructured":"Hospital visits down sharply and patients may not be in a rush to reschedule appointments. Available from:https:\/\/newsroom.transunion.com\/hospital-visits-down-sharply-and-patients-may-not-be-in-a-rush-to-reschedule-appointments. Accessed July 23 2020."},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhtm.2020.01.015"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6750"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2020.105747"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.105140"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2014816"}],"container-title":["Journal of Neuroimaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jon.12803","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jon.12803","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jon.12803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T06:15:51Z","timestamp":1693721751000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jon.12803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,23]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/jon.12803"],"URL":"https:\/\/doi.org\/10.1111\/jon.12803","archive":["Portico"],"relation":{},"ISSN":["1051-2284","1552-6569"],"issn-type":[{"value":"1051-2284","type":"print"},{"value":"1552-6569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,23]]},"assertion":[{"value":"2020-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}