An International Report on the Adaptations of Rapid Transient Ischaemic Attack Pathways During the COVID-19 Pandemic

Andy Lim, Shaloo Singhal, Philippa Lavallee, Pierre Amarenco, Peter M. Rothwell, Gregory Albers, Mukul Sharma, Robert Brown, Annemarei Ranta, Mohana Maddula, Timothy Kleinig, Jesse Dawson, Mitchell S.V. Elkind, Maria Guarino, Shelagh B. Coutts, Benjamin Clissold, Henry Ma, Thanh Phan

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Background: This report aims to describe changes that centres providing transient ischaemic attack (TIA) pathway services have made to stay operational in response to the SARS-CoV-2 pandemic. Methods: An international cross-sectional description of the adaptions of TIA pathways between 30th March and 6th May 2020. Experience was reported from 18 centres with rapid TIA pathways in seven countries (Australia, France, UK, Canada, USA, New Zealand, Italy, Canada) from three continents. Results: All pathways remained active (n = 18). Sixteen (89%) had TIA clinics. Six of these clinics (38%) continued to provide in-person assessment while the majority (63%) used telehealth exclusively. Of these, three reported PPE use and three did not. Five centres with clinics (31%) had adopted a different vascular imaging strategy. Conclusion: The COVID pandemic has led TIA clinics around the world to adapt and move to the use of telemedicine for outpatient clinic review and modified investigation pathways. Despite the pandemic, all have remained operational.

Original languageEnglish
Article number105228
Number of pages8
JournalJournal of Stroke and Cerebrovascular Diseases
Issue number11
Publication statusPublished - Nov 2020


  • Coronavirus
  • COVID-19
  • Delivery of Health Care
  • Ischemic Attack
  • Telemedicine
  • Transient

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