tetano
Editor, Senior Moderator
Vascular
. 2023 Mar 3;17085381231160933.
doi: 10.1177/17085381231160933. Online ahead of print.
The results of thrombectomy from the arteries of the lower extremities in patients infected with SARS-CoV-2 Omicron variant with different severity of respiratory failure
Anton N Kazantsev[SUP] 1 [/SUP], Alina S Zharova[SUP] 2 [/SUP], Dmitriy V Shmatov[SUP] 3 [/SUP], Aslan B Zakeryaev[SUP] 4 [/SUP], Roman Yu Lider[SUP] 5 [/SUP], Elizaveta G Kazantseva[SUP] 5 [/SUP], Goderzi S Bagdavadze[SUP] 2 [/SUP], Alexander V Korotkikh[SUP] 6 [/SUP], Victor A Lutsenko[SUP] 7 [/SUP], Roman V Sultanov[SUP] 7 [/SUP], Oleg V Lebedev[SUP] 1 [/SUP], Alexey A Sirotkin[SUP] 1 [/SUP], Elena V Snopova[SUP] 1 [/SUP], Petr D Palagin[SUP] 1 [/SUP]
Affiliations
Abstract
Goal: Analysis of the results of thrombectomy from the arteries of the lower extremities in patients with COVID-19 against the background of different severity of respiratory failure.
Materials and methods: This retrospective, cohort, comparative study for the period from 05/01/2022 to 20/07/2022 included 305 patients with acute thrombosis of the arteries of the lower extremities against the background of the course of COVID-19 (SARS-CoV-2 Omicron variant). Depending on the type of oxygen support, 3 groups of patients were formed: group 1 (n = 168) - oxygen insufflation through nasal cannulas; group 2 (n = 92) - non-invasive lung ventilation; and group 3 (n = 45) - artificial lung ventilation.
Results: Myocardial infarction and ischemic stroke were not detected in the total sample. The highest number of deaths (group 1: 5.3%, n = 9; group 2: 72.8%, n = 67; group 3: 100%, n = 45; p < 0.0001), rethrombosis (group 1 : 18.4%, n = 31; group 2: 69.5%, n = 64; group 3: 91.1%, n = 41; p < 0.0001), and limb amputations (group 1: 9.5%, n = 16; group 2: 56.5%, n = 52; group 3: 91.1%, n = 41; p < 0.0001) was recorded in group 3 (ventilated) patients.
Conclusion: In patients infected with COVID-19 and on artificial lung ventilation, a more aggressive course of the disease is noted, expressed in an increase in laboratory parameters (C-reactive protein, ferritin, interleukin-6, and D-dimer) of the degree of pneumonia (CT-4 in overwhelming number) and localization of thrombosis of the arteries of the lower extremities, mainly in the tibial arteries.
Keywords: COVID-19; SARS-CoV-2; acute lower limb ischemia; artificial lung ventilation; coagulopathy; coronavirus; endotheliitis; lower limb artery thrombosis; novel coronavirus; novel coronavirus infection; respiratory failure; thrombosis.
. 2023 Mar 3;17085381231160933.
doi: 10.1177/17085381231160933. Online ahead of print.
The results of thrombectomy from the arteries of the lower extremities in patients infected with SARS-CoV-2 Omicron variant with different severity of respiratory failure
Anton N Kazantsev[SUP] 1 [/SUP], Alina S Zharova[SUP] 2 [/SUP], Dmitriy V Shmatov[SUP] 3 [/SUP], Aslan B Zakeryaev[SUP] 4 [/SUP], Roman Yu Lider[SUP] 5 [/SUP], Elizaveta G Kazantseva[SUP] 5 [/SUP], Goderzi S Bagdavadze[SUP] 2 [/SUP], Alexander V Korotkikh[SUP] 6 [/SUP], Victor A Lutsenko[SUP] 7 [/SUP], Roman V Sultanov[SUP] 7 [/SUP], Oleg V Lebedev[SUP] 1 [/SUP], Alexey A Sirotkin[SUP] 1 [/SUP], Elena V Snopova[SUP] 1 [/SUP], Petr D Palagin[SUP] 1 [/SUP]
Affiliations
- PMID: 36867526
- DOI: 10.1177/17085381231160933
Abstract
Goal: Analysis of the results of thrombectomy from the arteries of the lower extremities in patients with COVID-19 against the background of different severity of respiratory failure.
Materials and methods: This retrospective, cohort, comparative study for the period from 05/01/2022 to 20/07/2022 included 305 patients with acute thrombosis of the arteries of the lower extremities against the background of the course of COVID-19 (SARS-CoV-2 Omicron variant). Depending on the type of oxygen support, 3 groups of patients were formed: group 1 (n = 168) - oxygen insufflation through nasal cannulas; group 2 (n = 92) - non-invasive lung ventilation; and group 3 (n = 45) - artificial lung ventilation.
Results: Myocardial infarction and ischemic stroke were not detected in the total sample. The highest number of deaths (group 1: 5.3%, n = 9; group 2: 72.8%, n = 67; group 3: 100%, n = 45; p < 0.0001), rethrombosis (group 1 : 18.4%, n = 31; group 2: 69.5%, n = 64; group 3: 91.1%, n = 41; p < 0.0001), and limb amputations (group 1: 9.5%, n = 16; group 2: 56.5%, n = 52; group 3: 91.1%, n = 41; p < 0.0001) was recorded in group 3 (ventilated) patients.
Conclusion: In patients infected with COVID-19 and on artificial lung ventilation, a more aggressive course of the disease is noted, expressed in an increase in laboratory parameters (C-reactive protein, ferritin, interleukin-6, and D-dimer) of the degree of pneumonia (CT-4 in overwhelming number) and localization of thrombosis of the arteries of the lower extremities, mainly in the tibial arteries.
Keywords: COVID-19; SARS-CoV-2; acute lower limb ischemia; artificial lung ventilation; coagulopathy; coronavirus; endotheliitis; lower limb artery thrombosis; novel coronavirus; novel coronavirus infection; respiratory failure; thrombosis.