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      Vascular procedures during the COVID-19 pandemic in a high volume Eastern European interventional radiology department

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          Abstract

          Aim

          To assess the impact of the COVID-19 outbreak on trends in hospital admissions and number of diagnostic and therapeutic procedures in the largest tertiary vascular center in Hungary.

          Patients and Methods

          A retrospective analysis was carried out. The first wave of the COVID-19 pandemic occurred approximately from March 15 until June 1 in Hungary. We have compared the same period of 2020 to 2019. Electronic medical records were reviewed for the clinical status of the patients and treatment-related information.

          Results

          The total number of diagnostic angiographies and therapeutic interventions in 2020 ( N = 233) decreased significantly ( P = 0.046) compared to 2019 ( N = 373). The ratio of Fontaine stage I–II cases to Fontaine stage III–IV cases for both diagnostic angiographies and therapeutic interventions was significantly lower (OR, 2.11; 95% CI, 1.26–3.59; P = 0.007 and OR, 3.22; 95% CI, 1.67–6.52; P < 0.001) in 2020 (0.36 and 0.27) than in 2019 (0.77 and 0.89). There was also a negative but not significant change in the number of supra-aortic (including internal carotid artery stenting) ( P = 0.128) and other vascular therapeutic interventions (superior vena caval stenting, hemodialysis access percutaneous transluminal angioplasty [PTA], visceral artery/vein PTA/stenting, embolization) ( P = 0.452) in 2020 ( N = 16 and N = 21) compared to 2019 ( N = 39 and N = 37).

          Conclusion

          The first wave of the COVID-19 pandemic had a negative effect on the total number of endovascular procedures in the largest tertiary vascular center in Hungary.

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          Author and article information

          Contributors
          Journal
          1647
          IMAGING
          IMAGING
          Akadémiai Kiadó (Budapest )
          2732-0960
          20 December 2021
          15 July 2021
          : 13
          : 2
          : 138-141
          Affiliations
          [1 ] Heart and Vascular Center, Semmelweis University , Budapest, Hungary
          [2 ] Hungarian Vascular Radiology Research Group , Budapest, Hungary
          [3 ] Medical Imaging Center, Semmelweis University , Budapest, Hungary
          Author notes
          [* ]Corresponding author. Heart and Vascular Center, Semmelweis University , Városmajor Street 68, 1122 Budapest, Hungary. Tel.: +36 20 825 8108; fax: +36 458 6746. E-mail: drdosaedit@ 123456gmail.com
          Article
          10.1556/1647.2021.00032
          4d605c42-9a4c-41ca-881f-13f428c12f63
          © 2021 The Author(s)

          Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated. (SID_1)

          Page count
          Tables: 3, Equations: 0, References: 9, Pages: 04
          Custom metadata
          1

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          peripheral artery disease,vascular procedures,COVID-19 pandemic,Fontaine stages,interventional radiology

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