Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection
https://doi.org/10.23934/2223-9022-2022-11-3-506-512
Abstract
The course of severe coronavirus infection is accompanied by hypercoagulability with micro- and macroangiopathy, which may be the cause of arterial and venous thrombosis. In March, 2021 — May 2021, 14 patients with COVID-19 and acute ischemia of the lower extremities due to arterial thrombosis were operated in the Infectious Pavilion of the N.V. Sklifosovsky Research Institute for Emergency Medicine. Retrombosis in the immediate postoperative period developed in 4 patients (26.7%). The amputation at the level of the thigh was performed in 2 patients (13.3%) due to the development of ischemic gangrene. The mortality was 71.4%, 10 patients died. The main cause of death was the progression of multiple organ failure in the course of severe viral-bacterial pneumonia. The best results were obtained with a combination of open surgery and endovascular technique, performing hybrid operations.
About the Authors
G. A. Isayev
Department of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Georgy A. Isayev Candidate of Medical Sciences, Senior Lecturer, Cardiovascular Surgeon
129090, Moscow, B. Suharevskaya Sq., 3
I. P. Mikhailov
Department of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Igor P. Mikhailov Doctor of Medical Sciences, Professor, Scientific Director
129090, Moscow, B. Suharevskaya Sq., 3
I. A. Yeroshkin
Department of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Ivan A. Yeroshkin Doctor of Medical Sciences, Scientific Supervisor of the Department of X-ray Endovascular Diagnosis and Treatment Methods
129090, Moscow, B. Suharevskaya Sq., 3
L. S. Kokov
Department of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Leonid S. Kokov Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Head of the Department of Emergency Cardiology and Cardiovascular Surgery
129090, Moscow, B. Suharevskaya Sq., 3
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Review
For citations:
Isayev G.A., Mikhailov I.P., Yeroshkin I.A., Kokov L.S. Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(3):506-512. https://doi.org/10.23934/2223-9022-2022-11-3-506-512
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