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Safety and Outcome ...
Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19: The Global COVID-19 Stroke Registry.
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Marto, João Pedro (author)
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Strambo, Davide (author)
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Ntaios, George (author)
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show more...
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Nguyen, Thanh N (author)
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Herzig, Roman (author)
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Czlonkowska, Anna (author)
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Demeestere, Jelle (author)
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Mansour, Ossama Yassin (author)
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Salerno, Alexander (author)
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Wegener, Susanne (author)
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Baumgartner, Philipp (author)
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Cereda, Carlo W (author)
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Bianco, Giovanni (author)
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Beyeler, Morin (author)
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Arnold, Marcel (author)
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Carrera, Emmanuel (author)
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Machi, Paolo (author)
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Altersberger, Valerian (author)
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Bonati, Leo (author)
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Gensicke, Henrik (author)
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Bolognese, Manuel (author)
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Peters, Nils (author)
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Wetzel, Stephan (author)
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Magriço, Marta (author)
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Ramos, João Nuno (author)
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Sargento-Freitas, João (author)
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Machado, Rita (author)
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Maia, Carolina (author)
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Machado, Egídio (author)
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Nunes, Ana Paiva (author)
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Ferreira, Patricia (author)
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Pinho E Melo, Teresa (author)
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Dias, Mariana Carvalho (author)
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Paula, André (author)
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Correia, Manuel Alberto (author)
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Castro, Pedro (author)
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Azevedo, Elsa (author)
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Albuquerque, Luís (author)
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Alves, José Nuno (author)
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Ferreira-Pinto, Joana (author)
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Meira, Torcato (author)
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Pereira, Liliana (author)
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Rodrigues, Miguel (author)
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Araujo, Andre Pinho (author)
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Rodrigues, Marta (author)
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Rocha, Mariana (author)
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Pereira-Fonseca, Ângelo (author)
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Ribeiro, Luís (author)
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Varela, Ricardo (author)
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Malheiro, Sofia (author)
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Cappellari, Manuel (author)
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Zivelonghi, Cecilia (author)
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Sajeva, Giulia (author)
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Zini, Andrea (author)
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Gentile, Mauro (author)
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Forlivesi, Stefano (author)
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Migliaccio, Ludovica (author)
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Sessa, Maria (author)
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La Gioia, Sara (author)
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Pezzini, Alessandro (author)
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Sangalli, Davide (author)
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Zedde, Marialuisa (author)
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Pascarella, Rosario (author)
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Ferrarese, Carlo (author)
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Beretta, Simone (author)
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Diamanti, Susanna (author)
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Schwarz, Ghil (author)
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Frisullo, Giovanni (author)
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Marcheselli, Simona (author)
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Seners, Pierre (author)
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Sabben, Candice (author)
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Escalard, Simon (author)
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Piotin, Michel (author)
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Maïer, Benjamin (author)
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Charbonnier, Guillaume (author)
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Vuillier, Fabrice (author)
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Legris, Loïc (author)
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Cuisenier, Pauline (author)
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Vodret, Francesca R (author)
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Marnat, Gaultier (author)
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Liegey, Jean-Sebastien (author)
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Sibon, Igor (author)
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Flottmann, Fabian (author)
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Broocks, Gabriel (author)
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Gloyer, Nils-Ole (author)
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Bohmann, Ferdinand O (author)
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Schaefer, Jan Hendrik (author)
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Nolte, Christian (author)
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Audebert, Heinrich J (author)
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Siebert, Eberhard (author)
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Sykora, Marek (author)
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Lang, Wilfried (author)
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Ferrari, Julia (author)
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Mayer-Suess, Lukas (author)
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Knoflach, Michael (author)
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Gizewski, Elke Ruth (author)
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Stolp, Jeffrey (author)
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Stolze, Lotte J (author)
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Coutinho, Jonathan M (author)
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Nederkoorn, Paul (author)
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van den Wijngaard, Ido (author)
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De Meris, Joke (author)
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Lemmens, Robin (author)
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De Raedt, Sylvie (author)
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Vandervorst, Fenne (author)
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Rutgers, Matthieu Pierre (author)
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Guilmot, Antoine (author)
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Dusart, Anne (author)
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Bellante, Flavio (author)
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Calleja-Castaño, Patricia (author)
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Ostos, Fernando (author)
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González-Ortega, Guillermo (author)
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Martín-Jiménez, Paloma (author)
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García-Madrona, Sebastian (author)
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Cruz-Culebras, Antonio (author)
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Vera, Rocio (author)
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Matute, Maria Consuelo (author)
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Fuentes, Blanca (author)
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Alonso-de-Leciñana, María (author)
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Rigual, Ricardo (author)
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Díez-Tejedor, Exuperio (author)
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Perez-Sanchez, Soledad (author)
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Montaner, Joan (author)
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Díaz-Otero, Fernando (author)
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Pérez-de-la-Ossa, Natalia (author)
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Flores-Pina, Belén (author)
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Muñoz-Narbona, Lucia (author)
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Chamorro, Angel (author)
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Rodríguez-Vázquez, Alejandro (author)
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Renú, Arturo (author)
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Ayo-Martin, Oscar (author)
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Hernández-Fernández, Francisco (author)
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Segura, Tomas (author)
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Tejada-Meza, Herbert (author)
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Sagarra-Mur, Daniel (author)
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Serrano-Ponz, Marta (author)
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Hlaing, Thant (author)
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See, Isaiah (author)
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Simister, Robert (author)
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Werring, David (author)
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Kristoffersen, Espen Saxhaug (author)
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- Nordanstig, Annika, 1974 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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- Jood, Katarina, 1966 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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Rentzos, Alexandros (author)
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Šimůnek, Libor (author)
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Krajíčková, Dagmar (author)
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Krajina, Antonín (author)
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Mikulik, Robert (author)
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Cviková, Martina (author)
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Vinklárek, Jan (author)
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Školoudík, David (author)
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Roubec, Martin (author)
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Hurtikova, Eva (author)
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Hrubý, Rostislav (author)
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Ostry, Svatopluk (author)
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Skoda, Ondrej (author)
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Pernicka, Marek (author)
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Jurak, Lubomir (author)
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Eichlová, Zuzana (author)
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Jíra, Martin (author)
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Kovar, Martin (author)
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Panský, Michal (author)
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Mencl, Pavel (author)
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Palouskova, Hana (author)
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Tomek, Aleš (author)
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Janský, Petr (author)
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Olšerová, Anna (author)
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Sramek, Martin (author)
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Havlicek, Roman (author)
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Malý, Petr (author)
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Trakal, Lukáš (author)
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Fiksa, Jan (author)
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Slovák, Matěj (author)
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Karlinski, Michal Adam (author)
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Nowak, Maciej (author)
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Sienkiewicz-Jarosz, Halina (author)
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Bochynska, Anna (author)
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Wrona, Pawel (author)
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Homa, Tomasz (author)
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Sawczynska, Katarzyna (author)
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Slowik, Agnieszka (author)
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Wlodarczyk, Ewa (author)
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Wiacek, Marcin (author)
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Tomaszewska-Lampart, Izabella (author)
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Sieczkowski, Bartosz (author)
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Bartosik-Psujek, Halina (author)
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Bilik, Marta (author)
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Bandzarewicz, Anna (author)
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Dorobek, Malgorzata (author)
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Zielinska-Turek, Justyna (author)
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Nowakowska-Kotas, Marta (author)
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Obara, Krystian (author)
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Urbanowski, Paweł (author)
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Budrewicz, Slawomir (author)
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Guziński, Maciej (author)
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Świtońska, Milena (author)
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Rutkowska, Iwona (author)
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Sobieszak-Skura, Paulina (author)
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Labuz-Roszak, Beata M (author)
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Debiec, Aleksander (author)
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Staszewski, Jacek (author)
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Stępień, Adam (author)
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Zwiernik, Jacek (author)
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Wasilewski, Grzegorz (author)
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Tiu, Cristina (author)
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Terecoasă, Elena Oana (author)
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Radu, Razvan Alexandru (author)
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Negrila, Anca (author)
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Dorobat, Bogdan (author)
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Panea, Cristina (author)
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Tiu, Vlad (author)
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Petrescu, Simona (author)
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Ozdemir, Atilla (author)
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Mahmoud, Mostafa (author)
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El-Samahy, Hussam (author)
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Abdelkhalek, Hazem (author)
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Al-Hashel, Jasem (author)
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Ismail, Ismail Ibrahim (author)
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Salmeen, Athari (author)
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Ghoreishi, Abdoreza (author)
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Sabetay, Sergiu Ionut (author)
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Gross, Hana (author)
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Klein, Piers (author)
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Abdalkader, Mohamad (author)
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Jabbour, Pascal (author)
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El Naamani, Kareem (author)
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Tjoumakaris, Stavropoula (author)
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Abbas, Rawad (author)
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Mohamed, Ghada A (author)
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Chebl, Alex (author)
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Min, Jiangyong (author)
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Hovingh, Majesta (author)
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Tsai, Jenney P (author)
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Khan, Muhib (author)
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Nalleballe, Krishna (author)
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Onteddu, Sanjeeva (author)
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Masoud, Hesham (author)
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Michael, Mina (author)
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Kaur, Navreet (author)
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Maali, Laith (author)
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Abraham, Michael G (author)
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Khandelwal, Priyank (author)
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Bach, Ivo (author)
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Ong, Melody (author)
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Babici, Denis (author)
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Khawaja, Ayaz M (author)
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Hakemi, Maryam (author)
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Rajamani, Kumar (author)
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Cano-Nigenda, Vanessa (author)
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Arauz, Antonio (author)
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Amaya, Pablo (author)
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Llanos, Natalia (author)
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Arango, Akemi (author)
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Vences, Miguel Ángel (author)
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Barrientos Guerra, Jose Dominguo (author)
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Caetano, Rayllene (author)
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Martins, Rodrigo Targa (author)
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Scollo, Sergio Daniel (author)
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Yalung, Patrick Matic (author)
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Nagendra, Shashank (author)
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Gaikwad, Abhijit (author)
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Seo, Kwon-Duk (author)
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Georgiopoulos, Georgios (author)
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Nogueira, Raul G (author)
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Michel, Patrik (author)
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: Neurology. - 1526-632X. ; 100:7
- Related links:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Subject headings
Close
- COVID-19-related inflammation, endothelial dysfunction, and coagulopathy may increase the bleeding risk and lower the efficacy of revascularization treatments in patients with acute ischemic stroke (AIS). We aimed to evaluate the safety and outcomes of revascularization treatments in patients with AIS and COVID-19.This was a retrospective multicenter cohort study of consecutive patients with AIS receiving intravenous thrombolysis (IVT) and/or endovascular treatment (EVT) between March 2020 and June 2021 tested for severe acute respiratory syndrome coronavirus 2 infection. With a doubly robust model combining propensity score weighting and multivariate regression, we studied the association of COVID-19 with intracranial bleeding complications and clinical outcomes. Subgroup analyses were performed according to treatment groups (IVT-only and EVT).Of a total of 15,128 included patients from 105 centers, 853 (5.6%) were diagnosed with COVID-19; of those, 5,848 (38.7%) patients received IVT-only and 9,280 (61.3%) EVT (with or without IVT). Patients with COVID-19 had a higher rate of symptomatic intracerebral hemorrhage (SICH) (adjusted OR 1.53; 95% CI 1.16-2.01), symptomatic subarachnoid hemorrhage (SSAH) (OR 1.80; 95% CI 1.20-2.69), SICH and/or SSAH combined (OR 1.56; 95% CI 1.23-1.99), 24-hour mortality (OR 2.47; 95% CI 1.58-3.86), and 3-month mortality (OR 1.88; 95% CI 1.52-2.33). Patients with COVID-19 also had an unfavorable shift in the distribution of the modified Rankin score at 3 months (OR 1.42; 95% CI 1.26-1.60).Patients with AIS and COVID-19 showed higher rates of intracranial bleeding complications and worse clinical outcomes after revascularization treatments than contemporaneous non-COVID-19 patients receiving treatment. Current available data do not allow direct conclusions to be drawn on the effectiveness of revascularization treatments in patients with COVID-19 or to establish different treatment recommendations in this subgroup of patients with ischemic stroke. Our findings can be taken into consideration for treatment decisions, patient monitoring, and establishing prognosis.The study was registered under ClinicalTrials.gov identifier NCT04895462.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- Humans
- Ischemic Stroke
- epidemiology
- surgery
- Fibrinolytic Agents
- therapeutic use
- Brain Ischemia
- complications
- epidemiology
- surgery
- Cohort Studies
- Thrombolytic Therapy
- adverse effects
- Treatment Outcome
- COVID-19
- complications
- Stroke
- epidemiology
- therapy
- diagnosis
- Intracranial Hemorrhages
- etiology
- Cerebral Hemorrhage
- complications
- Endovascular Procedures
- adverse effects
- Registries
Publication and Content Type
- ref (subject category)
- art (subject category)
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Marto, João Pedr ...
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Strambo, Davide
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Vinklárek, Jan
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Školoudík, David
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Roubec, Martin
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Hurtikova, Eva
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Hrubý, Rostislav
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Ostry, Svatopluk
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Skoda, Ondrej
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Pernicka, Marek
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Jurak, Lubomir
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Eichlová, Zuzana
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Jíra, Martin
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Kovar, Martin
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Panský, Michal
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Mencl, Pavel
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Palouskova, Hana
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Janský, Petr
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Olšerová, Anna
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Sramek, Martin
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Michael, Mina
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Khawaja, Ayaz M
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Barrientos Guerr ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
- Articles in the publication
-
Neurology
- By the university
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University of Gothenburg