Large vessel thrombosis in patient with COVID-19, a case series

被引：15

作者：

Baram, Aram ^{[1
]}

Kakamad, Fahmi H. ^{[1
,2
,3
]}

Abdullah, Hadi M. ^{[4
]}

Mohammed-Saeed, Dana H. ^{[1
,2
,5
]}

Hussein, Dahat A. ^{[2
,3
]}

Mohammed, Shvan H. ^{[3
]}

Abdulrahman, Binar B. ^{[6
,7
,8
]}

Mirza, Aram J. ^{[5
,6
]}

Abdulla, Berwn A. ^{[2
,3
]}

Rahim, Hawbash M. ^{[2
,3
]}

Rashid, Mohammed J. ^{[4
]}

Mohammed-Al, Farhad F. ^{[4
]}

Othman, Yad N. ^{[4
]}

Salih, Abdulwahid M. ^{[1
,2
]}

机构：

[1] Univ Sulaimani, Coll Med, Sulaimani, Kurdistan, Iraq

[2] Smart Hlth Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq

[3] Kscien Org, Hamdi Str, Sulaimani, Kurdistan, Iraq

[4] Shar Hosp, Sulaimani, Kurdistan, Iraq

[5] Sulaimani Ctr Heart Dis, Francois Mitterrand St, Sulaimani, Kurdistan, Iraq

[6] Shahid Peshraw Hosp, Sulaimani, Kurdistan, Iraq

[7] Chami Rezan Hosp, Sulaimani, Kurdistan, Iraq

[8] Baxshin Hosp, Sulaimani, Kurdistan, Iraq

来源：

ANNALS OF MEDICINE AND SURGERY | 2020年 / 60卷

关键词：

Ischemia; COVID-19; SARS-CoV-2; Thrombosis;

D O I：

10.1016/j.amsu.2020.11.030

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Involvement of the large vessels is rarely reported and poorly understood in cases of Corona virus disease-19 (COVID-19). The aim of this study is to present a series of cases with large vessel thrombosis (LVT). Methods: This is a multicenter prospective case series study. The participants were consecutive in order. All the patients were diagnosed as cases of COVID-19 with documented LVT were included in the study. Large vessels were defined as any vessel equal or larger than popliteal artery. The mean duration of follow up was 4 months. Results: The study included 22 cases, 19 (86.4%) cases were male, 3 (13.6%) patients were females. The age ranged from 23 to 76 with a mean of 48.4 years. Four (18.2%) cases had pulmonary embolism confirmed by IV contrast enhanced chest CT scan. All of the cases showed pulmonary parenchymal ground glass opacities (GGO) and high D-Dimers (ranging from 1267 to 6038 ng/ml with a mean of 3601 ng/ml). Conclusion: COVID-19 is a hidden risk factor of LVT that may endanger the patient's life and lead to major amputation. Despite therapeutic anticoagulants still all COVID-19 patients are at risk for LVT, a high index of suspicion should be created and with minimal symptoms surgical consultation should be obtained.

引用

页码：526 / 530

页数：5

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