TY - JOUR T1 - European Society of Minimally Invasive Neurological Therapy (ESMINT) recommendations for optimal interventional neurovascular management in the COVID-19 era JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 542 LP - 544 DO - 10.1136/neurintsurg-2020-016137 VL - 12 IS - 6 AU - Mohamed Aggour AU - Phil White AU - Zsolt Kulcsar AU - Jens Fiehler AU - Patrick Brouwer Y1 - 2020/06/01 UR - http://jnis.bmj.com/content/12/6/542.abstract N2 - The Coronavirus Disease 2019 (COVID-19) pandemic began in December 2019 in Wuhan, China. The outbreak is due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Healthcare contamination and infection rates are thought to be very high (up to 29% in a recent Chinese publication1).These recommendations are not intended to overrule local official safety measures and guidelines but rather to give other insights and perspectives while facing this exceptional situation in the safest way possible for your patient, team, family and yourself.Early detection and limiting exposure of healthcare workers (HCWs), employees and patients.Maintenance of urgent interventional neuroradiology (INR) procedures with adequate staff, materials and precautions.Provide infection control tutorials led by hospital infection control experts, as well ensure the availability of personal protective equipment (PPE) and education for HCWs.Ensure all department employees are aware of, and are performing, recommended infection control protocols.Review and practice protocols for decontaminating imaging rooms after caring for a COVID-19 patient.Implementation of ‘social distancing’ strategies for staff, trainees and faculty.Staff protection and their families.Adequate mental health and managing stress overload for HCWs.It is advised to limit neurointerventional activity only for acute and relative INR emergencies that cannot be reasonably postponed.Limit interventions to those that will actively affect the outcome of your patient with no borderline/extended indications where patients may not benefit from intervention.Before accepting a patient in transfer that may need an intensive care unit (ICU) bed later or a long continuous monitoring post-intervention it is important to verify the capacity and availability of such management internally. It might be beneficial to consider re-dispatching patients after intervention to their primary care hospital of origin if possible. It is important to have daily feedback about available ICU beds, as well as anesthesia and staff … ER -