Key points: -Patients with severe coronavirus disease 2019 may have neck endothelial inflammation, pseudo-aneurysm and an increased risk of bleeding, especially during neck surgical procedures.-The management of vascular lesions may be performed through interventional radiological procedures that may be useful to reduce the risk of virus aerosolization and healthcare provider contamination.-Neck pseudo-aneurysm may be managed through percutaneous glue injection under ultrasonography guidance while active hemorrhage may be managed by endovascular embolization with coil.