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Thromboaspiration for acute upper limb ischemia in a patient with COVID-19 (case report)

AbstractPresented herein is a clinical case report regarding endovascular thromboaspiration in acute upper limb ischemia having developed on the background of the novel coronavirus infection. A 66-year-old male patient had previously undergone in-hospital treatment for novel coronavirus pneumonia, to be discharged with clinical improvement. After discharge, the man by physician’s recommendation continued taking rivaroxaban at a dose of 10 mg daily. Despite this, he developed acute thrombosis of the arteries of the forearm and hand. He was admitted to the City Clinical Hospital № 15 named after O.M. Filatov. The examination revealed a clinical picture corresponding to stage IIa acute upper limb ischemia. Anticoagulant and dual desaggregant therapy did not lead to regress of ischemia. The patient was subjected to thromboaspiration, with restoration of blood flow through upper limb arteries.

Keywords:arterial thrombosis; acute upper limb acute ischemia; endovascular treatment; coronavirus infection; COVID-19

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Dzhurakulov Sh.R., Stupin V.A., Vechorko V.I.; data collection and handling – Tagaev N.B., Tashliev K.V.; statistical processing – Tagaev N.B., Maitesyan D.A.; draft manuscript preparation – Tagaev N.B., Dzhurakulov Sh.R.; manuscript revision – Tagaev N.B., Anglichanova K.Yu.

For citation: Dzhurakulov Sh.R., Stupin V.A., Vechorko V.I., Tagaev N.B., Maitesyan D.A., Tashliev K.V., Anglichanova K.Yu. Thromboaspiration for acute upper limb ischemia in a patient with COVID-19 (case report). Angiology and Vascular Surgery. Journal named Academician A.V. Pokrovsky. 2022; 28 (3): 128–34. DOI: https://doi.org/10.33029/1027-6661-2022-28-3-128-134 (in Russian)

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Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.