TY - JOUR TI - Practice recommendations for neurovascular ultrasound investigations of acute stroke patients in the setting of the COVID-19 pandemic: an expert consensus from the European Society of Neurosonology and Cerebral Hemodynamics AU - Baracchini, C. AU - Pieroni, A. AU - Kneihsl, M. AU - Azevedo, E. AU - Diomedi, M. AU - Pascazio, L. AU - Wojczal, J. AU - Lucas, C. AU - Bartels, E. AU - Bornstein, N.M. AU - Csiba, L. AU - Valdueza, J. AU - Tsivgoulis, G. AU - Malojcic, B. JO - European Journal of Paediatric Neurology PY - 2020 VL - 27 TODO - 9 SP - 1776-1780 PB - Wiley-Blackwell Publishing Ltd SN - 1090-3798 TODO - 10.1111/ene.14334 TODO - disinfectant agent, Article; brain ischemia; cerebrovascular accident; coronavirus disease 2019; health care personnel; human; medical society; pandemic; patient assessment; priority journal; stroke patient; ultrasound; brain; brain ischemia; consensus; diagnostic imaging; hemodynamics; pandemic; practice guideline; transcranial Doppler ultrasonography, Brain; Consensus; COVID-19; Hemodynamics; Humans; Ischemic Stroke; Pandemics; Ultrasonography, Doppler, Transcranial TODO - Background and purpose: Patients with acute ischemic stroke are at high-risk for contracting COVID-19 infection. Additionally, healthcare professionals including neurovascular ultrasound providers are also at risk of being infected by SARS-CoV-2 virus. Yet, preparedness to continue to guarantee hyperacute treatment is vital for patients outcome. In light of this situation, the European Society of Neurosonology and Cerebral Hemodynamic (ESNCH) appointed a task force to provide consensus recommendations for the performance of neurovascular ultrasound investigations in acute ischemic stroke during the COVID-19 pandemic with the aim of protecting both patients and ultrasound providers. Methods: The “ultrasound in acute stroke working group” of the ESNCH examined literature articles and reviews using the following key words: “corona virus” or “COVID-19” or “SARS-CoV-2 virus”, and “acute stroke” or “cerebrovascular disease”, and “ultrasound”. Thereafter, a thorough discussion was conducted with the “education and guidelines working group” of the ESNCH. Results: We propose rapid up-to-date recommendations for healthcare personnel involved in the pre-hospital and intra-hospital assessment of stroke patients, with a particular attention to neurovascular ultrasound performance. Conclusion: The ESNCH provides a guidance summary for the performance of neurovascular ultrasound investigations in acute ischemic stroke in the time of COVID-19. © 2020 European Academy of Neurology ER -