Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology.

COVID-19 GIB embolization gastrointestinal bleeding interventional radiology risk factors

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
17 Oct 2021
Historique:
received: 15 08 2021
revised: 05 10 2021
accepted: 11 10 2021
entrez: 23 10 2021
pubmed: 24 10 2021
medline: 24 10 2021
Statut: epublish

Résumé

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. 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. 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%. Our study highlights the most frequent characteristics of COVID-19 patients with GIB. Embolization is feasible, effective, and safe.

Sections du résumé

BACKGROUND 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 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 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 CONCLUSIONS
Our study highlights the most frequent characteristics of COVID-19 patients with GIB. Embolization is feasible, effective, and safe.

Identifiants

pubmed: 34682879
pii: jcm10204758
doi: 10.3390/jcm10204758
pmc: PMC8541615
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Anna Maria Ierardi (AM)

Radiology Unit, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy.

Andrea Coppola (A)

Radiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, Italy.

Silvia Tortora (S)

Postgraduate School of Radiology, University of Milan, 20122 Milan, Italy.

Elena Valconi (E)

Postgraduate School of Radiology, University of Milan, 20122 Milan, Italy.

Filippo Piacentino (F)

Radiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, Italy.

Federico Fontana (F)

Radiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, Italy.

Elvira Stellato (E)

Postgraduate School of Radiology, University of Milan, 20122 Milan, Italy.

Chiara Beatrice Cogliati (CB)

Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, 20157 Milan, Italy.

Daniela Torzillo (D)

Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, 20157 Milan, Italy.

Emanuela Giampalma (E)

Radiology Unit, M. Bufalini Hospital, AUSL Romagna, 47023 Cesena, Italy.

Matteo Renzulli (M)

Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40133 Bologna, Italy.

Irene Bargellini (I)

Division of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.

Roberto Cioni (R)

Division of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.

Rossella Scandiffio (R)

Division of Interventional Radiology, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.

Angelo Spinazzola (A)

Unit of Interventional Radiology, Unit of Radiology, ASST Crema-Ospedale Maggiore, 26013 Crema, Italy.

Riccardo Alessandro Foà (RA)

Unit of Interventional Radiology, Unit of Radiology, ASST Crema-Ospedale Maggiore, 26013 Crema, Italy.

Costantino Del Giudice (C)

Department of Radiology, Interventional Radiology, Institut Mutualiste Montsouris, 75014 Paris, France.

Massimo Venturini (M)

Radiology Unit, Ospedale di Circolo e Fondazione Macchi, University of Insubria, 21100 Varese, Italy.

Gianpaolo Carrafiello (G)

Radiology Unit, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy.

Classifications MeSH