tetano
Editor, Senior Moderator
J Clin Med
. 2021 Oct 17;10(20):4758.
doi: 10.3390/jcm10204758.
Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology
Anna Maria Ierardi[SUP] 1 [/SUP], Andrea Coppola[SUP] 2 [/SUP], Silvia Tortora[SUP] 3 [/SUP], Elena Valconi[SUP] 3 [/SUP], Filippo Piacentino[SUP] 2 [/SUP], Federico Fontana[SUP] 2 [/SUP], Elvira Stellato[SUP] 3 [/SUP], Chiara Beatrice Cogliati[SUP] 4 [/SUP], Daniela Torzillo[SUP] 4 [/SUP], Emanuela Giampalma[SUP] 5 [/SUP], Matteo Renzulli[SUP] 6 [/SUP], Irene Bargellini[SUP] 7 [/SUP], Roberto Cioni[SUP] 7 [/SUP], Rossella Scandiffio[SUP] 7 [/SUP], Angelo Spinazzola[SUP] 8 [/SUP], Riccardo Alessandro Foà[SUP] 8 [/SUP], Costantino Del Giudice[SUP] 9 [/SUP], Massimo Venturini[SUP] 2 [/SUP], Gianpaolo Carrafiello[SUP] 1 [/SUP]
Affiliations
Abstract
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.
Keywords: COVID-19; GIB; embolization; gastrointestinal bleeding; interventional radiology; risk factors.
. 2021 Oct 17;10(20):4758.
doi: 10.3390/jcm10204758.
Gastrointestinal Bleeding in Patients with SARS-CoV-2 Infection Managed by Interventional Radiology
Anna Maria Ierardi[SUP] 1 [/SUP], Andrea Coppola[SUP] 2 [/SUP], Silvia Tortora[SUP] 3 [/SUP], Elena Valconi[SUP] 3 [/SUP], Filippo Piacentino[SUP] 2 [/SUP], Federico Fontana[SUP] 2 [/SUP], Elvira Stellato[SUP] 3 [/SUP], Chiara Beatrice Cogliati[SUP] 4 [/SUP], Daniela Torzillo[SUP] 4 [/SUP], Emanuela Giampalma[SUP] 5 [/SUP], Matteo Renzulli[SUP] 6 [/SUP], Irene Bargellini[SUP] 7 [/SUP], Roberto Cioni[SUP] 7 [/SUP], Rossella Scandiffio[SUP] 7 [/SUP], Angelo Spinazzola[SUP] 8 [/SUP], Riccardo Alessandro Foà[SUP] 8 [/SUP], Costantino Del Giudice[SUP] 9 [/SUP], Massimo Venturini[SUP] 2 [/SUP], Gianpaolo Carrafiello[SUP] 1 [/SUP]
Affiliations
- PMID: 34682879
- PMCID: PMC8541615
- DOI: 10.3390/jcm10204758
Abstract
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.
Keywords: COVID-19; GIB; embolization; gastrointestinal bleeding; interventional radiology; risk factors.