RESUMEN
As the coronavirus pandemic evolves, the focus of radiology departments has begun to change. The acute phase of imaging a new disease entity whilst rationalising radiology services in the face of lockdown has passed. Radiologists are now becoming familiar with the complications of COVID-19, particularly the lung parenchymal and pulmonary vascular sequelae and are considering the impact follow-up imaging may have on departments already struggling with a backlog of suspended imaging in the face of reduced capacity. This review from the British Society of Thoracic Imaging explores both the thoracic and extra-thoracic complications of COVID-19, recognising the importance of a holistic approach to patient follow-up. The British Thoracic Society guidelines for respiratory follow-up of COVID-19 will be discussed, together with newly developed reporting templates, which aim to provide consistency for clinicians as well as an opportunity for longer-term data collection.
Asunto(s)
Encefalopatías/diagnóstico por imagen , COVID-19/complicaciones , COVID-19/diagnóstico por imagen , Enfermedades Gastrointestinales/diagnóstico por imagen , Cardiopatías/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Encéfalo/diagnóstico por imagen , Encefalopatías/etiología , Enfermedades Gastrointestinales/etiología , Tracto Gastrointestinal/diagnóstico por imagen , Corazón/diagnóstico por imagen , Cardiopatías/etiología , Humanos , Pulmón/diagnóstico por imagen , Servicio de Radiología en Hospital , Reino UnidoRESUMEN
Systemic arterial air embolism is a rarely encountered but much feared complication of percutaneous lung biopsy. We present a comprehensive review of iatrogenic air embolism post-lung biopsy, a complication that is often suboptimally managed. This review was inspired by our own institutional experience and we use this to demonstrate that excellent outcomes from this complication can be seen with prompt treatment using hyperbaric oxygen chamber therapy, after initial patient stabilization has been achieved. Pathophysiology, clinical features, and risk factors are reviewed and misconceptions regards venous versus arterial air embolism are examined. An algorithm is provided for radiologists to ensure suspected patients are appropriately managed with more favourable outcomes.