Contribution of Interventional Radiologist in the Management of Pseudoaneurysm and Neck Hemorrhages in COVID-19 patients

Ear Nose Throat J. 2021 Apr;100(2_suppl):148S-151S. doi: 10.1177/0145561320987030. Epub 2021 Jan 7.

Abstract

Patients with severe coronavirus disease 2019 (COVID-19) may have endothelial inflammation, pseudoaneurysm, and an increasing risk of bleeding, especially during surgical procedures. In this article, we reported 2 cases of COVID-19 patients with neck vascular lesions. The first patient had pseudoaneurysm of the cricothyroid artery, which was treated by percutaneous glue injection through ultrasonography guidance. The second patient presented lateral neck hematoma in front of the left superior thyroid artery, which was managed by coil endovascular embolization. In the context of pandemic, the management of vascular lesions may be performed through interventional radiological procedures that may reduce the risk of virus aerosolization and health care provider contamination.

Keywords: COVID-19; bleeding; complication; hemorrhage; neck; pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Adhesives / therapeutic use*
  • Aged
  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy*
  • COVID-19 / complications
  • COVID-19 / therapy*
  • Computed Tomography Angiography
  • Cyanoacrylates / therapeutic use
  • Embolization, Therapeutic / methods*
  • Endovascular Procedures
  • Hematoma / complications
  • Hematoma / diagnostic imaging
  • Hematoma / therapy*
  • Humans
  • Male
  • Middle Aged
  • Neck
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Radiology, Interventional*
  • SARS-CoV-2
  • Thyroid Gland / blood supply
  • Tracheotomy*
  • Ultrasonography

Substances

  • Adhesives
  • Cyanoacrylates
  • glubran 2