Abstract
In this paper, we aimed to describe a case series report of four patients that were admitted in the emergency room of our vascular and endovascular surgery department with acute arterial occlusion after a diagnosis of Covid-19 infection. The first patient was a male, 50 years, tobacco user, with arterial systemic hypertension and COVID-19 positive that was admitted with an acute arterial occlusion Rutherford IIb in the left lower limb. He was submitted to an arterial thromboembolectomy with Fogarty catheter and had a satisfactory evolution. CASE 2 was a female, 63 years, with arterial systemic hypertension, diabetes, esquizophrenia, that was admitted with acute limb ischemia (ALI) Rutherford III in the upper left limb. Despite attempts do revascularize the upper limb, the patient evolved with a hand amputation. CASE 3 was a Male patient, 49 years, HIV positive, diabetic with previous debridement in both feet due to diabetic foot infection, tobacco user and Rutherford IIb ALI in the right lower limb..The patient was submitted to an arterial thromboembolectomy with Fogarty catheter, however presented with fasciotomy infection and another post-operative complications that led him to die. Finally, CASE 4 was a female patient, 49 years, diabetic, admitted with COVID-19 infection that presented ALI during hospitalization on the right lower limb. She was submitted to proper thromboembolectomy, with a satisfactory evolution and limb salvage. COVID-19 pandemic crisis is a challenging situation that has increased the number of acute arterial thrombosis and embolism urgencies and emergencies surgeries in the vascular world. The four patients related in this paper bring valuable information regarding the impact of COVID-19 on micro and macrovascular system.
Highlights
Acute limb ischemia (ALI) represents one of the most common emergencies in vascular surgery with incidence range of 22 per 100,000 patients per year. [1] The treatment of acute limb ischemia (ALI) is still a challenge for vascular surgeons, considering the clinical severity of the patients
We aimed to describe a case series report of four patients that were admitted in the emergency room of our vascular and endovascular surgery department with acute arterial occlusion after a diagnosis of Covid-19 infection
COVID-19 pandemic crisis is a challenging situation that has increased the number of acute arterial thrombosis and embolism urgencies and emergencies surgeries in the vascular world
Summary
Acute limb ischemia (ALI) represents one of the most common emergencies in vascular surgery with incidence range of 22 per 100,000 patients per year. [1] The treatment of ALI is still a challenge for vascular surgeons, considering the clinical severity of the patients. A 50 years male, tobacco user, with arterial systemic hypertension and at the 7th day COVID-19 infection was admitted with an acute arterial occlusion Rutherford IIb in the left lower limb At physical examination he had femoral, popliteal and distal pulses present in the right lower limb, in the left lower limb he had only femoral pulses, without popliteal and distal pulses. Under general anesthesia and intravenous non-fractionated-heparin 80 UI/Kg infusion, a standard groin incision was used to expose the femoral bifurcation, with a thromboembolectomy of the common iliac, external iliac, profunda and superficial femoral arteries and popliteal artery with adequate thrombi removal and blood flow restoration and fasciotomies were performed in the medial and lateral compartment of the leg.The femoral and popliteal pulses were palpable, with an ankle brachial index 0,87. The patient was hospital discharged four days after the surgery and had adequate oral anticoagulation with Rivaroxaban 20mg daily with succesfully revascularization and limb salvage
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
