COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Jornal Vascular Brasileiro (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100613 |
Resumo: | Abstract A 67-year-old male diabetic patient with systemic arterial hypertension was admitted to the emergency department with a necrotic ulcer in the left external malleolus and no palpable popliteal or pedal pulses. Arterial Duplex ultrasound identified femoropopliteal occlusion, with popliteal refilling below the knee and a patent peroneal artery. An endovascular procedure was performed, requiring retrograde access to the popliteal artery to re-establish blood flow and deploy a popliteal stent. Technical success was achieved and the patient underwent debridement of the wound. Two days later, about 48 hours after the operation, the patient began to exhibit respiratory symptoms, with coughing and dyspnea. He immediately underwent a chest CT that identified ground glass opacities, the crazy-paving pattern, and bilateral air bronchogram in the lungs. A reverse transcription – polymerase chain reaction (RT-PCR) test was positive for SARS-Cov-2. The patient was moved to an intensive care unit and put on mechanical ventilation. Both hydroxychloroquine and azithromycin were administered. Despite appropriate treatment, the patient died 4 days after he was diagnosed with COVID-19. |
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COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomesCOVID-19critical limb ischemiaendovascular surgeryangioplastyperipheral occlusive arterial diseasegangreneAbstract A 67-year-old male diabetic patient with systemic arterial hypertension was admitted to the emergency department with a necrotic ulcer in the left external malleolus and no palpable popliteal or pedal pulses. Arterial Duplex ultrasound identified femoropopliteal occlusion, with popliteal refilling below the knee and a patent peroneal artery. An endovascular procedure was performed, requiring retrograde access to the popliteal artery to re-establish blood flow and deploy a popliteal stent. Technical success was achieved and the patient underwent debridement of the wound. Two days later, about 48 hours after the operation, the patient began to exhibit respiratory symptoms, with coughing and dyspnea. He immediately underwent a chest CT that identified ground glass opacities, the crazy-paving pattern, and bilateral air bronchogram in the lungs. A reverse transcription – polymerase chain reaction (RT-PCR) test was positive for SARS-Cov-2. The patient was moved to an intensive care unit and put on mechanical ventilation. Both hydroxychloroquine and azithromycin were administered. Despite appropriate treatment, the patient died 4 days after he was diagnosed with COVID-19.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2020-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100613Jornal Vascular Brasileiro v.19 2020reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.200071info:eu-repo/semantics/openAccessSoares,Rafael de AthaydeVedovello,Rafael SalemMedeiros,Samanta Christine Guedes deNunes,Celso ZaffaniSian,Carlos AlbertoJorge,Paulo Daenekas de Meloeng2020-09-18T00:00:00Zoai:scielo:S1677-54492020000100613Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2020-09-18T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false |
dc.title.none.fl_str_mv |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
title |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
spellingShingle |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes Soares,Rafael de Athayde COVID-19 critical limb ischemia endovascular surgery angioplasty peripheral occlusive arterial disease gangrene |
title_short |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
title_full |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
title_fullStr |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
title_full_unstemmed |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
title_sort |
COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes |
author |
Soares,Rafael de Athayde |
author_facet |
Soares,Rafael de Athayde Vedovello,Rafael Salem Medeiros,Samanta Christine Guedes de Nunes,Celso Zaffani Sian,Carlos Alberto Jorge,Paulo Daenekas de Melo |
author_role |
author |
author2 |
Vedovello,Rafael Salem Medeiros,Samanta Christine Guedes de Nunes,Celso Zaffani Sian,Carlos Alberto Jorge,Paulo Daenekas de Melo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Soares,Rafael de Athayde Vedovello,Rafael Salem Medeiros,Samanta Christine Guedes de Nunes,Celso Zaffani Sian,Carlos Alberto Jorge,Paulo Daenekas de Melo |
dc.subject.por.fl_str_mv |
COVID-19 critical limb ischemia endovascular surgery angioplasty peripheral occlusive arterial disease gangrene |
topic |
COVID-19 critical limb ischemia endovascular surgery angioplasty peripheral occlusive arterial disease gangrene |
description |
Abstract A 67-year-old male diabetic patient with systemic arterial hypertension was admitted to the emergency department with a necrotic ulcer in the left external malleolus and no palpable popliteal or pedal pulses. Arterial Duplex ultrasound identified femoropopliteal occlusion, with popliteal refilling below the knee and a patent peroneal artery. An endovascular procedure was performed, requiring retrograde access to the popliteal artery to re-establish blood flow and deploy a popliteal stent. Technical success was achieved and the patient underwent debridement of the wound. Two days later, about 48 hours after the operation, the patient began to exhibit respiratory symptoms, with coughing and dyspnea. He immediately underwent a chest CT that identified ground glass opacities, the crazy-paving pattern, and bilateral air bronchogram in the lungs. A reverse transcription – polymerase chain reaction (RT-PCR) test was positive for SARS-Cov-2. The patient was moved to an intensive care unit and put on mechanical ventilation. Both hydroxychloroquine and azithromycin were administered. Despite appropriate treatment, the patient died 4 days after he was diagnosed with COVID-19. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100613 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100613 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1677-5449.200071 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
dc.source.none.fl_str_mv |
Jornal Vascular Brasileiro v.19 2020 reponame:Jornal Vascular Brasileiro (Online) instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) instacron:SBACV |
instname_str |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
instacron_str |
SBACV |
institution |
SBACV |
reponame_str |
Jornal Vascular Brasileiro (Online) |
collection |
Jornal Vascular Brasileiro (Online) |
repository.name.fl_str_mv |
Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
repository.mail.fl_str_mv |
||secretaria@sbacv.org.br |
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