Successful Catheter-Directed Thrombolysis for Acute Lower Limb Ischemia Secondary to COVID-19 Infection
| Autor: | Oladeji Olojugba, Tamer Ghatwary Tantawy, Ragai R. Makar, Kamel Muhammad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Acute limb ischaemia
medicine.medical_specialty medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Revascularization 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Occlusion Medicine Respiratory system business.industry SARS-CoV-2 infection COVID-19 Catheter-directed thrombolysis Thrombosis Thrombolysis Aortic bifurcation General Medicine medicine.disease Surgery medicine.anatomical_structure Acute Limb Ischaemia Breathing business Cardiology and Cardiovascular Medicine |
| Zdroj: | Annals of Vascular Surgery |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2020.09.044 |
| Popis: | A 49-year-old man was admitted to his local hospital with left leg pain and breathing difficulties. He had negative nasopharyngeal polymerase chain reaction tests for severe acute respiratory syndrome coronavirus 2. Chest X-ray and Computed tomography pulmonary angiogram displayed typical coronavirus disease 2019 (COVID-19) radiological features as ground-glass opacities and bronchovascular thickening. His respiratory symptoms resolved after four days of supportive treatment, whereas his left leg became more painful and discolored. He was referred to our center with acute left leg ischemia. computed tomography angiogram revealed eccentric mural thrombus at the aortic bifurcation, extending into left common iliac and an abrupt occlusion of left popliteal, tibioperoneal, and posterior tibial arteries. He was treated with catheter-directed thrombolysis for 48-hours that achieved successful revascularization of the ischemic limb with no intervention-related complications. At six-week follow-up, he showed full recovery. Our case demonstrates that catheter-directed thrombolysis is a successful and safe treatment option in a COVID-19 patient with acute arterial occlusion. |
| Databáze: | OpenAIRE |
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