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

Authors
  • Lee, Kyungmouk Steve1
  • Talenfeld, Adam D2
  • Browne, William F3
  • Holzwanger, Daniel J4
  • Harnain, Christopher5
  • Kesselman, Andrew6
  • Pua, Bradley B7
  • 1 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 2 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 3 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 4 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 5 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 6 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
  • 7 Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: [email protected] , (United States)
Type
Published Article
Journal
Clinical imaging
Publication Date
Nov 05, 2020
Volume
71
Pages
143–146
Identifiers
DOI: 10.1016/j.clinimag.2020.10.048
PMID: 33259979
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To highlight the role of interventional radiology (IR) in the treatment of patients hospitalized with coronavirus disease 2019 (COVID-19). 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. 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. Interventional radiology participated in the care of hospitalized COVID-19 patients by performing a wide variety of necessary procedures. Copyright © 2020 Elsevier Inc. All rights reserved.

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