Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology
Background: This study was conducted to evaluate the technical and clinical success of trans-arterial embolization (TAE) as a treatment of gastrointestinal bleeding (GIB) in Coronavirus Disease 2019 (COVID-19) patients and to describe its safety; moreover, we describe the characteristics of these pa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/20/4758 |
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| author | Anna Maria Ierardi Andrea Coppola Silvia Tortora Elena Valconi Filippo Piacentino Federico Fontana Elvira Stellato Chiara Beatrice Cogliati Daniela Torzillo Emanuela Giampalma Matteo Renzulli Irene Bargellini Roberto Cioni Rossella Scandiffio Angelo Spinazzola Riccardo Alessandro Foà Costantino Del Giudice Massimo Venturini Gianpaolo Carrafiello |
| author_facet | Anna Maria Ierardi Andrea Coppola Silvia Tortora Elena Valconi Filippo Piacentino Federico Fontana Elvira Stellato Chiara Beatrice Cogliati Daniela Torzillo Emanuela Giampalma Matteo Renzulli Irene Bargellini Roberto Cioni Rossella Scandiffio Angelo Spinazzola Riccardo Alessandro Foà Costantino Del Giudice Massimo Venturini Gianpaolo Carrafiello |
| author_sort | Anna Maria Ierardi |
| collection | DOAJ |
| description | Background: This study was conducted to evaluate the technical and clinical success of trans-arterial embolization (TAE) as a treatment of gastrointestinal bleeding (GIB) in Coronavirus Disease 2019 (COVID-19) patients and to describe its safety; moreover, we describe the characteristics of these patients. Methods: Thirty-four COVID-19 hospitalized patients presented with GIB. Risk factors, drugs administered for COVID-19 infection, and clinical and biological parameters were evaluated. Furthermore, intraprocedural data and outcomes of embolization were analyzed. Results: GIB was more frequent in male. Overweight, hypertension, diabetes, previous cardiac disease, and anticoagulation preadmission (48.5%) were frequently found in our population. Previous or actual COVID Acute respiratory distress syndrome (ARDS) and a high level of D-dimer were encountered in most cases. Upper GIB was more frequent than lower GIB. Technical and clinical success rates of embolization were 88.2% and 94.1%, respectively. The complication rate was 5.9%. Conclusions: Our study highlights the most frequent characteristics of COVID-19 patients with GIB. Embolization is feasible, effective, and safe. |
| first_indexed | 2024-03-10T06:28:58Z |
| format | Article |
| id | doaj.art-89100086cabf44429c324255015b3c6e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:28:58Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-89100086cabf44429c324255015b3c6e2023-11-22T18:42:46ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020475810.3390/jcm10204758Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional RadiologyAnna Maria Ierardi0Andrea Coppola1Silvia Tortora2Elena Valconi3Filippo Piacentino4Federico Fontana5Elvira Stellato6Chiara Beatrice Cogliati7Daniela Torzillo8Emanuela Giampalma9Matteo Renzulli10Irene Bargellini11Roberto Cioni12Rossella Scandiffio13Angelo Spinazzola14Riccardo Alessandro Foà15Costantino Del Giudice16Massimo Venturini17Gianpaolo Carrafiello18Radiology Unit, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, ItalyRadiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, ItalyPostgraduate School of Radiology, University of Milan, 20122 Milan, ItalyPostgraduate School of Radiology, University of Milan, 20122 Milan, ItalyRadiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, ItalyRadiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, ItalyPostgraduate School of Radiology, University of Milan, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, ItalyDepartment of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, ItalyRadiology Unit, M. Bufalini Hospital, AUSL Romagna, 47023 Cesena, ItalyDepartment of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40133 Bologna, ItalyDivision of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, ItalyDivision of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, ItalyDivision of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, ItalyUnit of Interventional Radiology, Unit of Radiology, ASST Crema-Ospedale Maggiore, 26013 Crema, ItalyUnit of Interventional Radiology, Unit of Radiology, ASST Crema-Ospedale Maggiore, 26013 Crema, ItalyDepartment of Radiology, Interventional Radiology, Institut Mutualiste Montsouris, 75014 Paris, FranceRadiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, ItalyRadiology Unit, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, ItalyBackground: This study was conducted to evaluate the technical and clinical success of trans-arterial embolization (TAE) as a treatment of gastrointestinal bleeding (GIB) in Coronavirus Disease 2019 (COVID-19) patients and to describe its safety; moreover, we describe the characteristics of these patients. Methods: Thirty-four COVID-19 hospitalized patients presented with GIB. Risk factors, drugs administered for COVID-19 infection, and clinical and biological parameters were evaluated. Furthermore, intraprocedural data and outcomes of embolization were analyzed. Results: GIB was more frequent in male. Overweight, hypertension, diabetes, previous cardiac disease, and anticoagulation preadmission (48.5%) were frequently found in our population. Previous or actual COVID Acute respiratory distress syndrome (ARDS) and a high level of D-dimer were encountered in most cases. Upper GIB was more frequent than lower GIB. Technical and clinical success rates of embolization were 88.2% and 94.1%, respectively. The complication rate was 5.9%. Conclusions: Our study highlights the most frequent characteristics of COVID-19 patients with GIB. Embolization is feasible, effective, and safe.https://www.mdpi.com/2077-0383/10/20/4758COVID-19gastrointestinal bleedingGIBrisk factorsembolizationinterventional radiology |
| spellingShingle | Anna Maria Ierardi Andrea Coppola Silvia Tortora Elena Valconi Filippo Piacentino Federico Fontana Elvira Stellato Chiara Beatrice Cogliati Daniela Torzillo Emanuela Giampalma Matteo Renzulli Irene Bargellini Roberto Cioni Rossella Scandiffio Angelo Spinazzola Riccardo Alessandro Foà Costantino Del Giudice Massimo Venturini Gianpaolo Carrafiello Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology Journal of Clinical Medicine COVID-19 gastrointestinal bleeding GIB risk factors embolization interventional radiology |
| title | Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology |
| title_full | Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology |
| title_fullStr | Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology |
| title_full_unstemmed | Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology |
| title_short | Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology |
| title_sort | gastrointestinal bleeding in patients with sars cov 2 infection managed by interventional radiology |
| topic | COVID-19 gastrointestinal bleeding GIB risk factors embolization interventional radiology |
| url | https://www.mdpi.com/2077-0383/10/20/4758 |
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