Department of Medical Imaging and Interventional Radiology, DMU Smart Imaging. 26930Assistance Publique-Hôpitaux de Paris, GH Université Paris-Saclay, Ambroise Paré Hospital, Boulogne-Billancourt, France.
Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, GH Université Paris-Saclay, Suresnes, France.
Ear Nose Throat J. 2021 Apr;100(2_suppl):148S-151S. doi: 10.1177/0145561320987030. Epub 2021 Jan 7.
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.
严重 2019 冠状病毒病（COVID-19）患者可能存在血管内皮炎症、假性动脉瘤，且出血风险增加，尤其是在外科手术期间。本文报告了 2 例 COVID-19 颈部血管病变患者。第 1 例患者为环甲动脉假性动脉瘤，采用超声引导下经皮胶注射治疗。第 2 例患者为左颈总动脉前外侧部血肿，采用血管内线圈栓塞治疗。在大流行期间，血管病变的治疗可通过介入放射学方法进行，这可能会降低病毒气溶胶化和医护人员感染的风险。
