Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection
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...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2022-10-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/1454 |
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| author | G. A. Isayev I. P. Mikhailov I. A. Yeroshkin L. S. Kokov |
| author_facet | G. A. Isayev I. P. Mikhailov I. A. Yeroshkin L. S. Kokov |
| author_sort | G. A. Isayev |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-afa1f5e0f64a450ab693ce5c28201c5d |
| institution | DOAJ |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2022-10-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-afa1f5e0f64a450ab693ce5c28201c5d2025-08-20T03:18:30ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172022-10-0111350651210.23934/2223-9022-2022-11-3-506-512805Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus InfectionG. A. Isayev0I. P. Mikhailov1I. A. Yeroshkin2L. S. Kokov3Department of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Vascular Surgery N.V. Sklifosovsky Research Institute for Emergency MedicineThe 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.https://www.jnmp.ru/jour/article/view/1454coronavirus infectionarterial thrombosis |
| spellingShingle | G. A. Isayev I. P. Mikhailov I. A. Yeroshkin L. S. Kokov Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection Неотложная медицинская помощь coronavirus infection arterial thrombosis |
| title | Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection |
| title_full | Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection |
| title_fullStr | Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection |
| title_full_unstemmed | Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection |
| title_short | Treatment of Patients with Thrombosis of the Arteries of the Lower Extremities and Coronavirus Infection |
| title_sort | treatment of patients with thrombosis of the arteries of the lower extremities and coronavirus infection |
| topic | coronavirus infection arterial thrombosis |
| url | https://www.jnmp.ru/jour/article/view/1454 |
| work_keys_str_mv | AT gaisayev treatmentofpatientswiththrombosisofthearteriesofthelowerextremitiesandcoronavirusinfection AT ipmikhailov treatmentofpatientswiththrombosisofthearteriesofthelowerextremitiesandcoronavirusinfection AT iayeroshkin treatmentofpatientswiththrombosisofthearteriesofthelowerextremitiesandcoronavirusinfection AT lskokov treatmentofpatientswiththrombosisofthearteriesofthelowerextremitiesandcoronavirusinfection |