The management of COVID-associated thrombosis by local arterial thrombolysis
https://doi.org/10.24884/1682-6655-2022-21-2-80-85
Abstract
The COVID-19 infection leads to profound changes in coagulation among patients affected by the disease. High prevalence of thrombotic events and its different clinical manifestations forced medical society to reevaluate the existent guidelines and to find the new applicable treatment approaches. This case study report includes a brief review of latest guidelines and scientific manuscripts, pathogenic justification of proposed treatment methods, an example of successful treatment of 56 years old male with acute limb ischemia, nonsmoker, with no previous history of peripheral arterial disease, severely affected by coronavirus infection. Ongoing pandemic makes the aspects of active surgical treatment of COVID-19 patients with associated thrombotic complications playing crucial role to decrease the number of negative consequences of infection.
About the Authors
A. S. ShapovalovRussian Federation
Shapovalov Aleksandr S. – cardiovascular surgeon
4, Kultury pr., Saint Petersburg, Russia, 194291
A. V. Kebriakov
Russian Federation
Kebriakov Aleksei V. – cardiovascular surgeon
4, Kultury pr., Saint Petersburg, Russia, 194291
T. Kh. Gamzatov
Russian Federation
Gamzatov Temirlan K. – PhD, cardiovascular surgeon
4, Kultury pr., Saint Petersburg, Russia, 194291
A. V. Svetlikov
Russian Federation
Svetlikov Aleksei V. – PhD, Head of the Department of Vascular and Endovascular Surgery
4, Kultury pr., Saint Petersburg, Russia, 194291
7/9, Universitetskaya embankment, Saint Petersburg, Russia, 199034
G. N. Gorbunov
Russian Federation
Gorbunov G. N. – MD., professor of cardiovascular surgery department
47, Piskarevskii str., Saint Petersburg, Russia, 195067
V. A. Kashchenko
Russian Federation
Kashchenko V. A. – MD, general director scientific assistant; Head of the faculty surgery department
4, Kultury pr., Saint Petersburg, Russia, 194291
7/9, Universitetskaya embankment, Saint Petersburg, Russia, 199034
V. A. Ratnikov
Russian Federation
Ratnikov V. A. – MD, professor, medical director
4, Kultury pr., Saint Petersburg, Russia, 194291
7/9, Universitetskaya embankment, Saint Petersburg, Russia, 199034
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Review
For citations:
Shapovalov A.S., Kebriakov A.V., Gamzatov T.Kh., Svetlikov A.V., Gorbunov G.N., Kashchenko V.A., Ratnikov V.A. The management of COVID-associated thrombosis by local arterial thrombolysis. Regional blood circulation and microcirculation. 2022;21(2):80-85. (In Russ.) https://doi.org/10.24884/1682-6655-2022-21-2-80-85