Vascular findings in CTA body and extremity of critically ill COVID-19 patients: commonly encountered vascular complications with review of literature

Lee, Emerson; Gong, Anna J.; Gawande, Rakhee; Fishman, Elliot K.; Vadvala, Harshna V.

doi:10.1007/s10140-021-02013-1

Cited by 6 publications

(13 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common hemorrhagic complication is hematomas involving the retroperitoneum, abdominal wall, gluteal regions, or upper thigh. Both blockage of major arteries and solid organ infarction, such as the intestinal tract, kidneys, pancreas, and liver, are examples of thrombotic events seen on CT angiography [11]. The CT findings of the abdomen and pelvis of our patient exhibited right retroperitoneal hematoma and right renal artery non-occlusive filling defect that might be due to the anticoagulation therapy.…”

Section: Discussionmentioning

confidence: 59%

“…Lee stated that in comparison to non-vascular observations, vascular findings are rather uncommon. Both thrombotic and hemorrhagic adverse events occur in COVID-19 patients, with hemorrhagic events being more common [11]. The most common hemorrhagic complication is hematomas involving the retroperitoneum, abdominal wall, gluteal regions, or upper thigh.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arterio-Venous Thrombosis and Spontaneous Bleeding in COVID-19-Associated Coagulopathy: A Case Report

Jalali¹,

Basala²,

Habeb³

2022

Cureus

View full text Add to dashboard Cite

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome which was declared a global pandemic in 2019 causing significant morbidities and mortalities. COVID-19 is a multi-systemic disease and is not primarily limited to the respiratory system. Thrombus formation is one of its distinct features. However, renal complications associated with COVID-19 are rarely reported in the literature due to limited occurrence and research. We report a rare case of right retroperitoneal hematoma in a COVID-19 patient. We report a 51-year-old male patient who was received at the emergency department (ED). The patient was positive for COVID-19 and had a Glasgow coma scale of 12/15. The patient was initially managed on IV anticoagulation due to cavernous sinus thrombosis and was placed on mechanical ventilation which helped him to improve. After two weeks, a sudden drop in hemoglobin was observed. CT scan of abdomen and pelvis showed the presence of a right retroperitoneal hematoma, and right renal artery non-occlusive filling defect. The patient was successfully managed with conservative treatment. Retroperitoneal hematoma although a rare occurrence in COVID-19 patient should be observed and monitored closely in case of bleeding or anemia, as early management and intervention is beneficial.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Arterio-Venous Thrombosis and Spontaneous Bleeding in COVID-19-Associated Coagulopathy: A Case Report

Jalali¹,

Basala²,

Habeb³

2022

Cureus

View full text Add to dashboard Cite

show abstract

“…This study disagreed with the previous research by Vadvala et al [ 20 ] which reported that the bleeding complications with or without contrast extravasation were most commonly seen in 71% of included patients, while thromboembolic and ischemic complications were seen only in 17.8% of patients. Other worldwide researchers also disagreed with this, including Shah et al [ 21 ], Lodigiani et al [ 22 ], Lee et al [ 23 ], O'Shea et al [ 24 ], Abdelmohsen et al [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Imaging of COVID-19 vasculopathy from head to toe: Egyptian collective experience after 2 years of the pandemic

Fathy

Rizk

Elnekeidy

et al. 2022

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

Background COVID-19 vasculopathy is a critical condition that impacts the disease prognosis including vasculitis and thromboembolic complications. This study aimed to provide the Egyptian experience about the COVID-19 vasculopathy during the past two years of the pandemic and to collectively include the different modalities and imaging techniques for the diagnosis of cerebrovascular, pulmonary, gastrointestinal, and peripheral arterial vascular complications. Results This is a multi-center retrospective analysis of 3500 PCR-proved COVID-19 infection between March 2020 and December 2021. A cohort of 282 consecutive patients with COVID-19 vasculopathy was considered for inclusion. They included 204 males and 78 females (72:28%). The mean age was 68 years, and age ranged from 48 to 90 years. Five radiologists evaluated the different imaging examinations in consensus including computed tomography (CT), CT-angiography (CTA), CT-perfusion (CTP), magnetic resonance imaging (MRI), MR-arteriography (MRA), and MR-venography (MRV). 244/282 (86.5%) patients suffered from non-hemorrhagic cerebral ischemic infarctions. 13/282 (4.6%) patients suffered from hemorrhagic cerebral infarctions. 5/282 (1.8%) patients suffered from cerebral vasculitis. Pulmonary vascular angiopathy was detected in 10/282 (3.5%) patients, including pulmonary embolism in 10/10 patients, pulmonary infarctions in 8/10 patients, pulmonary vascular enlargement in 5/10 patients, and vascular "tree-in-bud" sign in 2/10 patients. Intestinal ischemia and small bowel obstruction were detected in 3/282 patients (1%) while GIT bleeding was encountered in 4/282 patients (1.4%). Lower limb arterial ischemia was found in 3/282 patients (1%). Additionally; 39/282 (13.8%) patients developed peripheral deep venous thrombosis (DVT) due to prolonged ICU recumbence while 28/282 (10%) patients developed jugular vein thrombosis sequel to prolonged catheterization. A p value (0.002) and (r) = 0.8 statistically proved strong significant relation between COVID-19 vasculopathy and D-dimer levels. Conclusions Multi-system vasculopathy was a serious complication of COVID-19 which impacted the patients' morbidity and mortality. An Egyptian experience about the COVID-19 vasculopathy during the past two years of the pandemic was provided. It encountered the different modalities and imaging techniques for the diagnosis of cerebrovascular, pulmonary, gastrointestinal, and peripheral arterial COVID-19 vascular complications.

show abstract

“…In the abdomen and pelvis, hemorrhagic complications were more common than thrombotic complications, including hematomas of retroperitoneum and abdominal wall. 73 Overall, rates of VTE among patients hospitalized with COVID-19 are approximately three-fold higher than among historical matched controls 74 , whereas rates of arterial thromboembolism are lower. 75 …”

Section: Introductionmentioning

confidence: 93%

“…The frequent occurrence of VTE when not clinically suspected is corroborated on postmortem studies. 72 While rare, aortic thrombosis, occlusion of large vessels, and solid organ infarct have been reported 73 . In the abdomen and pelvis, hemorrhagic complications were more common than thrombotic complications, including hematomas of retroperitoneum and abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Nonpulmonary Critical Illness

Pirzadeh

Prescott

2023

Clinics in Chest Medicine

View full text Add to dashboard Cite

Vascular findings in CTA body and extremity of critically ill COVID-19 patients: commonly encountered vascular complications with review of literature

Cited by 6 publications

References 63 publications

Arterio-Venous Thrombosis and Spontaneous Bleeding in COVID-19-Associated Coagulopathy: A Case Report

Arterio-Venous Thrombosis and Spontaneous Bleeding in COVID-19-Associated Coagulopathy: A Case Report

Imaging of COVID-19 vasculopathy from head to toe: Egyptian collective experience after 2 years of the pandemic

Impact of COVID-19 on Nonpulmonary Critical Illness

Contact Info

Product

Resources

About