دورية أكاديمية
Increased reliability of CT-imaging signs of bleeding into soft tissue in patients with COVID-19 for planning transarterial embolization.
| العنوان: | Increased reliability of CT-imaging signs of bleeding into soft tissue in patients with COVID-19 for planning transarterial embolization. |
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| المؤلفون: | Polyaev AY; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia. apolyaev@yandex.ru., Tyagunov AE; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia.; Department of Faculty Surgery №1 Pirogov Russian National Research Medical University (Pirogov Medical University), Ostrovityanova Str., 1, 117997, Moscow, Russia., Polonsky AA; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia., Vinogradov VN; Moscow Municipal Hospital #1 n.a. N.I. Pirogov, Leninskij Prospect, 1, 119049, Moscow, Russia., Trudkov DY; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia.; Department of Faculty Surgery №1 Pirogov Russian National Research Medical University (Pirogov Medical University), Ostrovityanova Str., 1, 117997, Moscow, Russia., Mosin SV; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia., Stradymov EA; Moscow Multidisciplinary Clinical Center 'Kommunarka', P. Kommunarka, Sosenskij Stan Str., 8, 108814, Moscow, Russia.; Department of Faculty Surgery №1 Pirogov Russian National Research Medical University (Pirogov Medical University), Ostrovityanova Str., 1, 117997, Moscow, Russia., Baglaenko MV; Department of Faculty Surgery №1 Pirogov Russian National Research Medical University (Pirogov Medical University), Ostrovityanova Str., 1, 117997, Moscow, Russia., Sazhin AV; Department of Faculty Surgery №1 Pirogov Russian National Research Medical University (Pirogov Medical University), Ostrovityanova Str., 1, 117997, Moscow, Russia. |
| المصدر: | Abdominal radiology (New York) [Abdom Radiol (NY)] 2023 Mar; Vol. 48 (3), pp. 1164-1172. Date of Electronic Publication: 2023 Jan 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 101674571 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2366-0058 (Electronic) NLM ISO Abbreviation: Abdom Radiol (NY) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [New York] : Springer, [2016]- |
| مواضيع طبية MeSH: | COVID-19* , Embolization, Therapeutic*/methods, Humans ; Contrast Media ; Retrospective Studies ; Reproducibility of Results ; Hemorrhage/therapy ; Tomography, X-Ray Computed/methods |
| مستخلص: | Introduction: Spontaneous bleeding into the soft tissues of the abdominal and thoracic wall is described as complication of anticoagulant therapy. Computed tomography (CT) allows to detect the presence of extravasation of the contrast agent into a hematoma, which is indicated as a sign of ongoing bleeding. Other specific CT signs of such coagulopathic bleeding have been described earlier. Aim of the Study: To evaluate the significance of specific coagulopathic CT signs for predicting the dynamics of spontaneous bleeding into soft tissues in patients with COVID-19. Materials and Methods: A retrospective study included 60 patients with COVID-19 with spontaneous bleeding into soft tissues and extravasation of a contrast agent on CT. In addition to extravasation, a "hematocrit effect" was detected in 43 patients on CT. Of these, 39 had extravasation in the form of a "signal flare." All patients underwent transarterial catheter angiography (TCA). To assess the prognostic value of CT signs, the results of CT and TCA compared. The absence of extravasation on the TCA more often corresponded to stopped bleeding. Results: Extravasation on TCA found in 27 (45%) patients. The presence of the "hematocrit effect" or the combination of this sign with the phenomenon of a "signal flare" on CT (n = 43) led to more frequent confirmation of extravasation on TCA than in their absence (n = 17): 23.5% vs. 53.4% (p = 0.028). Conclusion: The presence of a fluid level and the phenomenon of a "signal flare" on CT in the structure of spontaneous hematomas of the soft tissues of the abdominal and thoracic wall in COVID-19 patients more often corresponded to ongoing bleeding on the TCA. The absence of coagulopathic CT signs more often corresponded to stopped bleeding. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: COVID-19; CT; Embolization; Extravasation; Hematoma; Non-surgical treatment; Ongoing bleeding; Spontaneous bleeding |
| المشرفين على المادة: | 0 (Contrast Media) |
| تواريخ الأحداث: | Date Created: 20230124 Date Completed: 20230224 Latest Revision: 20230311 |
| رمز التحديث: | 20230311 |
| مُعرف محوري في PubMed: | PMC9872064 |
| DOI: | 10.1007/s00261-023-03810-7 |
| PMID: | 36692545 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2366-0058 |
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| DOI: | 10.1007/s00261-023-03810-7 |