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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. Shapovalov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency
Russian Federation

Shapovalov Aleksandr S. – cardiovascular surgeon

4, Kultury pr., Saint Petersburg, Russia, 194291



A. V. Kebriakov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency
Russian Federation

Kebriakov Aleksei V. – cardiovascular surgeon

4, Kultury pr., Saint Petersburg, Russia, 194291



T. Kh. Gamzatov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency
Russian Federation

Gamzatov Temirlan K. – PhD, cardiovascular surgeon

4, Kultury pr., Saint Petersburg, Russia, 194291



A. V. Svetlikov
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; Saint-Petersburg State University
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
North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Gorbunov G. N. – MD., professor of cardiovascular surgery department

47, Piskarevskii str., Saint Petersburg, Russia, 195067



V. A. Kashchenko
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; Saint-Petersburg State University
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
North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency; Saint-Petersburg State University
Russian Federation

Ratnikov V. A. – MD, professor, medical director

4, Kultury pr., Saint Petersburg, Russia, 194291

7/9, Universitetskaya embankment, Saint Petersburg, Russia, 199034



References

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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

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ISSN 1682-6655 (Print)
ISSN 2712-9756 (Online)