COVID-19: What Should Interventional Radiologists Know and What Can They Do?

Zhu, Hai-Dong; Zeng, Chu Hui; Lü, Jian; Teng, Gao‐Jun

doi:10.1016/j.jvir.2020.03.022

Cited by 20 publications

(20 citation statements)

References 15 publications

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“…On the other hand, the risk of transmission is related to the degree of contact between patients and HCWs. Therefore, certain subspecialties like IR entail a greater risk of acquiring and transmitting infection due to the close patient contact and invasive patient care these services provide [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

et al. 2020

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Objectives To retrospectively analyze interventional radiology (IR) activity changes in the COVID-19 era and to describe how to safely and effectively reorganize IR activity. Methods All IR procedures performed between January 30 and April 8, 2020 (COVID-era group) and the same 2019 period (non-COVID-era group) were retrospectively included and compared. A sub-analysis for the lockdown period (LDP: 11 March-8 April) was also conducted. Demographic, hospitalization, clinical, and procedural data were obtained for both groups and statistically compared with univariable analysis. Results A total of 1496 procedures (non-COVID era, 825; COVID era, 671) performed in 1226 patients (64.9 ± 15.1 years, 618 women) were included. The number of procedures decreased by 18.6% between 2019 and 2020 (825 vs 671, p < .001), with a reduction by 48.2% in LDP (188 vs 363, p < .0001). In the LDP COVID era, bedside procedures were preferred (p = .013), with an increase in procedures from the intensive care unit compared with the emergency department and outpatients (p = .048), and an increased activity for oncological patients (p = .003). No incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of healthcare workers in the IR service was registered. Conclusions Coronavirus disease outbreak changed the interventional radiology activity with an overall reduction in the number of procedures. However, this study confirms that interventional radiology continuum of care can be safely performed also during the pandemic, following defined measures and protocols, taking care of all patients. Key Points • Coronavirus disease pandemic determined a reduction of interventional radiology activity as compared to the same period of the previous year. • Interventional radiology procedures for life-threatening conditions and non-deferrable oncologic treatments were prioritized as opposed to elective procedures. • Strict adoption of safe procedures allowed us to have until now no incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of HCWs in the IR service.

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Section: Introductionmentioning

confidence: 99%

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

et al. 2020

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“…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%

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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“…5 The most common signs and symptoms reported for COVID-19 is fever, cough, headache, diarrhea, myalgia, and shortness of breath. 6 The severity of disease and mortality rate varies considerably due to rapid RNA mutation of SARS-CoV-2, patient's immunity, and co-morbidities. 7 Currently, rapid detection of SARS-CoV-2 RNA through saliva, blood, nasal pharyngeal swabs, and throat washes is helping in minimizing and controlling its transmission.…”

Section: Introductionmentioning

confidence: 99%

Common misconceptions regarding COVID-19 among health care professionals: an online global cross-sectional survey

Tariq¹,

Hamid²,

Mashood³

et al. 2020

J Oral Res

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Background: The COVID-19 pandemic has taken the world by storm, with cases continuously increasing by the hour and with a shortage of information regarding the virus available to the general public. Despite the availability of trusted online sources, there are still misconceptions relating to the virus floating around. This study aimed to find out the level of misconceptions among healthcare professionals (HCPs) worldwide about the ensuing COVID-19 pandemic. Materials and Methods: A descriptive cross sectional study was conducted through a global online survey. The self-administered questionnaire was designed and registered at an online website (Kwiksurveys). A total of 652 participants from 35 different countries across the world responded. Statistical analysis was performed using SPSS version 23. Socio-demographic and discipline characteristics were compared with the help of the chi-square test and univariate and multivariate logistic regression to find significant relationships. Results: Among all HCPs, general physicians (61.2%) were the most common respondents. The responses from females (63.3%) almost doubled those of men, and nearly half of the participants were working in private institutes (49.2%). Additionally, the major source of information used by HCPs about COVID-19 was social media (55.4%). Regarding misconception assessment, 71.6% of participants had correct concepts regarding COVID-19. However, 28.4% had incorrect information. Female HCPs were 1.49 times more likely to have correct concepts compared to males (OR=1.49, 95% CI=1.04-2.14). Conclusions: The majority of the HCPs were keeping themselves up-to-date with current information concerning the knowledge, prevention, and hygiene practices of COVID-19 infection. However, some misconceptions are deeply rooted in the mindsets of HCPs worldwide and need to be addressed by the continuous professional development of HCPs. The availability of reliable sources of information on the pandemic should be encouraged, with adequate explanations also available to the general public in simple terms.

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COVID-19: What Should Interventional Radiologists Know and What Can They Do?

Cited by 20 publications

References 15 publications

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

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

Common misconceptions regarding COVID-19 among health care professionals: an online global cross-sectional survey

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