Contribution of Interventional Radiology to the Management of COVID-19 patient

Monfardini, Lorenzo; Sallemi, Claudio; Gennaro, Nicolò; Pedicini, Vittorio; Bnà, Claudio

doi:10.1007/s00270-020-02470-0

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…Interventional radiology procedures have contributed to the care of COVID-19 patients worldwide. Reports from Europe, Asia, and North America outline the safety precautions utilized during the COVID-19 pandemic in performing IR procedures [ 7 , [12] , [13] , [14] ]. In the largest study of IR procedures during the COVID-19 pandemic, 550 patients underwent 671 procedures at a tertiary care hospital in Italy [ 12 ]; this study found that there were no incidents of cross-infection and no reports of COVID-19 infection of healthcare worked in the IR service.…”

Section: Discussionmentioning

confidence: 99%

“…In severe COVID-19, patients may develop respiratory distress, renal failure, cardiac injury as well as venous and arterial thromboembolism [ 3 , 4 ]. Working alongside other medical and surgical specialties, interventional radiology (IR) can play a role in the management of coronavirus-related complications [ [5] , [6] , [7] ]. For COVID-19 patients with renal failure, IR physicians may leverage their expertise in image-guided techniques to place hemodialysis catheters even in patients with challenging anatomy due to venous thromboembolism (VTE) [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter

et al. 2021

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Objective To highlight the role of interventional radiology (IR) in the treatment of patients hospitalized with coronavirus disease 2019 (COVID-19). Methods Retrospective review of hospitalized patients who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and had one or more IR procedures at a tertiary referral hospital in New York City during a 6-week period in April and May of 2020. Results Of the 724 patients admitted with COVID-19, 92 (12.7%) underwent 124 interventional radiology procedures (79.8% in IR suite, 20.2% at bedside). The median age of IR patients was 63 years (range 24–86 years); 39.1% were female; 35.9% in the intensive care unit. The most commonly performed IR procedures were central venous catheter placement (31.5%), inferior vena cava filter placement (9.7%), angiography/embolization (4.8%), gastrostomy tube placement (9.7%), image-guided biopsy (10.5%), abscess drainage (9.7%), and cholecystostomy tube placement (6.5%). Thoracentesis/chest tube placement and nephrostomy tube placement were also performed as well as catheter-directed thrombolysis of massive pulmonary embolism and thrombectomy of deep vein thrombosis. General anesthesia (10.5%), monitored anesthesia care (18.5%), moderate sedation (29.8%), or local anesthetic (41.1%) was utilized. There were 3 (2.4%) minor complications (SIR adverse event class B), 1 (0.8%) major complication (class C), and no procedure-related death. With a median follow-up of 4.3 months, 1.1% of patients remain hospitalized, 16.3% died, and 82.6% were discharged. Conclusion Interventional radiology participated in the care of hospitalized COVID-19 patients by performing a wide variety of necessary procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter

et al. 2021

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“…The COVID-19 pandemic has also affected the field of interventional radiology [ 18 ]. In the context of the COVID-19 pandemic, the interventional radiology department has made many preparations and achieved significant achievements [ 19 , 20 , 21 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…When treating COVID-19 patients, not only the success of the procedure, but also the prevention of the spread of infection, is very important. Therefore, when performing interventional procedures for COVID-19 patients, a facility equipped with negative-pressure ventilation is required [ 19 , 20 , 21 , 22 , 23 ]. However, with the rapid spread of infection, it is difficult to equip all hospital angiography suites with negative-pressure ventilation facilities.…”

Section: Introductionmentioning

confidence: 99%

The Role of Interventional Radiology and Management of an Angiography Suite in the Treatment of COVID-19 Patients: Single-Center, 2-Year Experience

Shim

Lee

2023

Medicina

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Background and Objectives: Hospital angiography suites with negative-pressure ventilation facilities are challenging to equip. During the COVID-19 pandemic, we aimed to introduce interventional radiology procedures performed on COVID-19 patients and understand management of the angiography suite without a negative-pressure ventilation facility before and after the procedures to prevent the spread of infection. Materials and Methods: Between December 2020 and November 2022, 52 COVID-19 patients underwent interventional radiology procedures in an angiography suite, where no negative-pressure ventilation facility was installed. During the procedure, all staff members wore full personal protection equipment, and after the procedure for the COVID-19-positive patient was completed, the angiography suite was disinfected and entry to the angiography suite was prohibited for 1–3 h. In this angiography suite, procedures for COVID-19 patients and non-COVID-19 patients were performed. Results: A total of 61 interventional radiology procedures were performed in 52 patients with COVID-19. Of 52 patients, 21 underwent procedures under intubation and mechanical ventilation. All procedures were performed according to the guidelines set by the Infection Control Committee of our hospital. No major or minor complications were associated with the procedures. There were no cases of infection among staff members or other non-COVID-19 patients related to procedures on COVID-19 patients. Conclusions: Interventional radiology can play an important role in solving the complications of COVID-19 and the problems caused by patients’ underlying diseases. In addition, if accurate guidelines are followed, both COVID-19 and non-COVID-19 patients can undergo procedures in an angiography room without negative-pressure ventilation while preventing infection.

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“…A full list of all research articles with CXR images added to our dataset[47,48,49,50,51,52,53,54,11,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73] 4 COVID-19 Chest X-ray Image Data Collection. Available on: https://github.com/armiro/COVID-CXNet…”

mentioning

confidence: 99%

COVID-CXNet: Detecting COVID-19 in Frontal Chest X-ray Images using Deep Learning

Haghanifar¹,

Majdabadi²,

Choi³

et al. 2020

Preprint

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One of the primary clinical observations for screening the infectious by the novel coronavirus is capturing a chest x-ray image. In most of the patients, a chest x-ray contains abnormalities, such as consolidation, which are the results of COVID-19 viral pneumonia. In this study, research is conducted on efficiently detecting imaging features of this type of pneumonia using deep convolutional neural networks in a large dataset. It is demonstrated that simple models, alongside the majority of pretrained networks in the literature, focus on irrelevant features for decision-making. In this paper, numerous chest x-ray images from various sources are collected, and the largest publicly accessible dataset is prepared. Finally, using the transfer learning paradigm, the well-known CheXNet model is utilized for developing COVID-CXNet. This powerful model is capable of detecting the novel coronavirus pneumonia based on relevant and meaningful features with precise localization. COVID-CXNet is a step towards a fully automated and robust COVID-19 detection system.

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Contribution of Interventional Radiology to the Management of COVID-19 patient

Cited by 4 publications

References 5 publications

Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter

Role of interventional radiology in the treatment of COVID-19 patients: Early experience from an epicenter

The Role of Interventional Radiology and Management of an Angiography Suite in the Treatment of COVID-19 Patients: Single-Center, 2-Year Experience

COVID-CXNet: Detecting COVID-19 in Frontal Chest X-ray Images using Deep Learning

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