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Acute Femoral Artery Occlusion and Lower Extremity Ischemia in a Patient with COVID-19: A Case Report

Year 2020, Volume: 6 Issue: 4, 167 - 172, 31.12.2020

Abstract

Clinical spectrum of COVID-19 disease; it ranges from asymptomatic infection to severe disease with hypoxaemic respiratory failure, septic shock and multi-organ dysfunction requiring invasive mechanical ventilation and other organ support in intensive care units. The presence of hypercoagulation, which is characterized by micro and macro vascular thrombotic angiopathy, has been shown to serious and critical conditions in COVID-19 patients. In this case; lower extremity ischemia due to acute femoral artery occlusion during follow-up in the intensive care unit due to severe COVID-19 disease is presented.

References

  • 1. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int. Erişim: 04.11.2020
  • 2. Hassan SA, Sheikh FN, Jamal S, et al. Coronavirus (COVID-19): a review of clinical features, diagnosis, and treatment. Cureus 2020;12.
  • 3. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet 2020; 395: 1417 – 1418.
  • 4. Henry BM, Vikse J, Benoit S, et al. Hyperinflammation and derangement of renin-angiotensin-aldosterone system in COVID-19: a novel hypothesis for clinically suspected hypercoagulopathy and microvascular immunothrombosis. Clinica Chim Acta 2020; 507: 167e73.
  • 5. Spiezia L, Boscolo A, Poletto F, et al. COVID-19-related severe hypercoagulability in patients admitted to intensive care unit for acute respiratory failure. Thromb Haemost 2020; 120: 998e1000.
  • 6. Helms J, Tacquard C, Severac F, et al. High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020; 46: 1089e98.
  • 7. Cheruiyot I, Kipkorir V, Ngure B, Misiani M, Munguti J, Ogeng'o J. Arterial Thrombosis in Coronavirus Disease 2019 Patients: A Rapid Systematic Review [published online ahead of print, 2020 Aug 28]. Ann Vasc Surg. 2020; S0890-5096(20)30767-6. doi:10.1016/j.avsg.2020.08.087
  • 8. Zhao M, Wang M, Zhang J, Ye J, Xu Y, Wang Z, Ye D, Liu J, Wan J. Advances in the relationship between coronavirus infection and cardiovascular diseases. Biomed Pharmacother. 2020 Jul; 127: 110230. doi: 10.1016/j.biopha.2020.110230. Epub 2020 May 13. PMID: 32428835; PMCID: PMC7218375.
  • 9. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endo- theliitis in COVID-19. Lancet 2020; 395: 1417-8.
  • 10. Abou-Ismail MY, Diamond A, Kapoor S, Arafah Y, Nayak L. The hypercoagulable state in COVID-19: incidence, patho- physiology, and management. Thromb Res 2020; 194: 101-15.
  • 11. Goldman IA, Ye K, Scheinfeld MH. Lower-extremity Arterial Thrombosis Associated with COVID-19 Is Characterized by Greater Thrombus Burden and Increased Rate of Amputation and Death. Radiology. 2020; 297(2): E263-E269. doi:10.1148/radiol.2020202348

COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu

Year 2020, Volume: 6 Issue: 4, 167 - 172, 31.12.2020

Abstract

COVID-19 hastalığının klinik spektrumu; asemptomatik enfeksiyondan yoğun bakım ünitelerinde invazif mekanik ventilasyon ve diğer organ desteği gerektiren hipoksemik solunum yetmezliği, septik şok ve çoklu organ disfonksiyonu ile seyreden şiddetli hastalığa kadar uzanır. COVID-19 hastalarında gelişen ciddi ve kritik tablolara mikro ve makro vasküler trombotik anjiyopati ile karakterize olan hiperkoagülasyon durumunun varlığı gösterilmiştir. Bu olguda; ağır seyirli COVID-19 hastalığından dolayı yoğun bakım ünitesinde takip edilen, takibi sırasında akut femoral arter tıkanıklığı sonucunda gelişen alt ekstremite iskemisi sunulmuştur.

References

  • 1. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int. Erişim: 04.11.2020
  • 2. Hassan SA, Sheikh FN, Jamal S, et al. Coronavirus (COVID-19): a review of clinical features, diagnosis, and treatment. Cureus 2020;12.
  • 3. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet 2020; 395: 1417 – 1418.
  • 4. Henry BM, Vikse J, Benoit S, et al. Hyperinflammation and derangement of renin-angiotensin-aldosterone system in COVID-19: a novel hypothesis for clinically suspected hypercoagulopathy and microvascular immunothrombosis. Clinica Chim Acta 2020; 507: 167e73.
  • 5. Spiezia L, Boscolo A, Poletto F, et al. COVID-19-related severe hypercoagulability in patients admitted to intensive care unit for acute respiratory failure. Thromb Haemost 2020; 120: 998e1000.
  • 6. Helms J, Tacquard C, Severac F, et al. High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020; 46: 1089e98.
  • 7. Cheruiyot I, Kipkorir V, Ngure B, Misiani M, Munguti J, Ogeng'o J. Arterial Thrombosis in Coronavirus Disease 2019 Patients: A Rapid Systematic Review [published online ahead of print, 2020 Aug 28]. Ann Vasc Surg. 2020; S0890-5096(20)30767-6. doi:10.1016/j.avsg.2020.08.087
  • 8. Zhao M, Wang M, Zhang J, Ye J, Xu Y, Wang Z, Ye D, Liu J, Wan J. Advances in the relationship between coronavirus infection and cardiovascular diseases. Biomed Pharmacother. 2020 Jul; 127: 110230. doi: 10.1016/j.biopha.2020.110230. Epub 2020 May 13. PMID: 32428835; PMCID: PMC7218375.
  • 9. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endo- theliitis in COVID-19. Lancet 2020; 395: 1417-8.
  • 10. Abou-Ismail MY, Diamond A, Kapoor S, Arafah Y, Nayak L. The hypercoagulable state in COVID-19: incidence, patho- physiology, and management. Thromb Res 2020; 194: 101-15.
  • 11. Goldman IA, Ye K, Scheinfeld MH. Lower-extremity Arterial Thrombosis Associated with COVID-19 Is Characterized by Greater Thrombus Burden and Increased Rate of Amputation and Death. Radiology. 2020; 297(2): E263-E269. doi:10.1148/radiol.2020202348
There are 11 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Erkut Etçioğlu 0000-0002-8117-7929

Kubilay İşsever 0000-0002-1376-1488

Deniz Çekiç 0000-0002-7114-9334

Ahmed Genç This is me 0000-0002-7725-707X

Abdülkadir Aydın 0000-0003-0663-586X

Selcuk Yaylacı 0000-0002-6768-7973

Publication Date December 31, 2020
Submission Date November 5, 2020
Acceptance Date December 20, 2020
Published in Issue Year 2020 Volume: 6 Issue: 4

Cite

APA Etçioğlu, E., İşsever, K., Çekiç, D., Genç, A., et al. (2020). COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu. Journal of Human Rhythm, 6(4), 167-172.
AMA Etçioğlu E, İşsever K, Çekiç D, Genç A, Aydın A, Yaylacı S. COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu. Journal of Human Rhythm. December 2020;6(4):167-172.
Chicago Etçioğlu, Erkut, Kubilay İşsever, Deniz Çekiç, Ahmed Genç, Abdülkadir Aydın, and Selcuk Yaylacı. “COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı Ve Alt Ekstremite İskemisi: Olgu Sunumu”. Journal of Human Rhythm 6, no. 4 (December 2020): 167-72.
EndNote Etçioğlu E, İşsever K, Çekiç D, Genç A, Aydın A, Yaylacı S (December 1, 2020) COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu. Journal of Human Rhythm 6 4 167–172.
IEEE E. Etçioğlu, K. İşsever, D. Çekiç, A. Genç, A. Aydın, and S. Yaylacı, “COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu”, Journal of Human Rhythm, vol. 6, no. 4, pp. 167–172, 2020.
ISNAD Etçioğlu, Erkut et al. “COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı Ve Alt Ekstremite İskemisi: Olgu Sunumu”. Journal of Human Rhythm 6/4 (December 2020), 167-172.
JAMA Etçioğlu E, İşsever K, Çekiç D, Genç A, Aydın A, Yaylacı S. COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu. Journal of Human Rhythm. 2020;6:167–172.
MLA Etçioğlu, Erkut et al. “COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı Ve Alt Ekstremite İskemisi: Olgu Sunumu”. Journal of Human Rhythm, vol. 6, no. 4, 2020, pp. 167-72.
Vancouver Etçioğlu E, İşsever K, Çekiç D, Genç A, Aydın A, Yaylacı S. COVID-19 Hastasında Gelişen Akut Femoral Arter Tıkanıklığı ve Alt Ekstremite İskemisi: Olgu Sunumu. Journal of Human Rhythm. 2020;6(4):167-72.