Interventional oncology at the time of COVID-19 pandemic: Problems and solutions

A Denys; B Guiu; P Chevallier; A Digklia; E de Kerviler; T de Baere

doi:10.1016/j.diii.2020.04.005

Interventional oncology at the time of COVID-19 pandemic: Problems and solutions

Diagn Interv Imaging. 2020 Jun;101(6):347-353. doi: 10.1016/j.diii.2020.04.005. Epub 2020 Apr 23.

Authors

A Denys¹, B Guiu², P Chevallier³, A Digklia⁴, E de Kerviler⁵, T de Baere⁶

Affiliations

¹ Department of Radiology, CHUV UNIL, rue du Bugnon 46, 1011 Lausanne, Switzerland. Electronic address: Alban.Denys@chuv.ch.
² Department of Radiology, Hôpital Saint ELOI, CHU Montpellier, 34000 Montpellier, France.
³ Department of Radiology, Hôpital ARCHET 2, CHU Nice, 06000 Nice, France.
⁴ Department of Oncology, CHUV UNIL, 1011 Lausanne, Switzerland.
⁵ Department of Radiology, Assistance Publique-Hopitaux de Paris, Hôpital Saint-Louis, 75010 Paris, France; Université de Paris, 75006 Paris, France.
⁶ Department of Interventional Radiology, Institut Gustave Roussy, 94800 Villejuif, France.

Abstract

The COVID-19 pandemic has deeply impacted the activity of interventional oncology in hospitals and cancer centers. In this review based on official recommendations of different international societies, but also on local solutions found in different expert large-volume centers, we discuss the changes that need to be done for the organization, safety, and patient management in interventional oncology. A literature review of potential solutions in a context of scarce anesthesiologic resources, limited staff and limited access to hospital beds are proposed and discussed based on the literature data.

Keywords: COVID-19; Interventional radiology; Kidney cancer; Liver cancer; Lung cancer.

Publication types

Review

MeSH terms

Aerosols
Age Factors
Anesthesia, General
Anesthesiology / statistics & numerical data
Betacoronavirus*
Biopsy / adverse effects
Biopsy / methods
COVID-19
COVID-19 Testing
Cancer Care Facilities / organization & administration*
Carcinoma, Hepatocellular / therapy
Carcinoma, Renal Cell / therapy
Chemoembolization, Therapeutic / methods
Clinical Laboratory Techniques / methods
Colonic Neoplasms / pathology
Coronavirus Infections / complications
Coronavirus Infections / diagnosis
Coronavirus Infections / epidemiology*
Coronavirus Infections / transmission
Databases, Factual
Health Personnel / statistics & numerical data
Health Resources / organization & administration
Health Resources / supply & distribution
Hospital Bed Capacity / statistics & numerical data
Hospitalization / statistics & numerical data
Humans
Hyperthermia, Induced / methods
Kidney Neoplasms / therapy
Liver Neoplasms / therapy
Lung Neoplasms / secondary
Lung Neoplasms / therapy
Neoplasms / complications
Neoplasms / therapy*
Palliative Care / methods
Pandemics*
Pneumonia, Viral / complications
Pneumonia, Viral / diagnosis
Pneumonia, Viral / epidemiology*
Pneumonia, Viral / transmission
SARS-CoV-2
Triage

Substances

Aerosols