Author: Kakamad, Fahmi H.; Abdullah, Hadi M.; Mohammed-Saeed, Dana H.; Hussein, Dahat A.; Mohammed, Shvan H.; Abdulrahman, Binar B.; Mirza, Aram J.; Abdulla, Berwn A.; Rahim, Hawbash M.; Rashid, Mohammed J.; Mohammed-Al, Farhad F.; Salih, Abdulwahid M.
Title: Large vessel thrombosis in patient with COVID-19, a case series Cord-id: vaeibzhv Document date: 2020_11_12
ID: vaeibzhv
Snippet: INTRODUCTION: Involvement of the large vessels is rarely reported and poorly understood in cases of Corona virus disease-19 (COVID-19). The aim of this study is to present a series of cases with large vessel thrombosis (LVT). METHODS: This is a multicenter prospective case series study. The participants were consecutive in order. All the patients were diagnosed as cases of COVID-19 with documented LVT were included in the study. Large vessels were defined as any vessel equal or larger than popli
Document: INTRODUCTION: Involvement of the large vessels is rarely reported and poorly understood in cases of Corona virus disease-19 (COVID-19). The aim of this study is to present a series of cases with large vessel thrombosis (LVT). METHODS: This is a multicenter prospective case series study. The participants were consecutive in order. All the patients were diagnosed as cases of COVID-19 with documented LVT were included in the study. Large vessels were defined as any vessel equal or larger than popliteal artery. The mean duration of follow up was 4 months. RESULTS: The study included 22 cases, 19 (86.4%) cases were male, 3 (13.6%) patients were females. The age ranged from 23 to 76 with a mean of 48.4 years. Four (18.2%) cases had pulmonary embolism confirmed by IV contrast enhanced chest CT scan. All of the cases showed pulmonary parenchymal ground glass opacities (GGO) and high D-Dimers (ranging from 1267 to 6038 ng/ml with a mean of 3601 ng/ml). CONCLUSION: COVID-19 is a hidden risk factor of LVT that may endanger the patient's life and lead to major amputation. Despite therapeutic anticoagulants still all COVID-19 patient are at risk for LVT, a high index of suspicion should be created and with minimal symptoms surgical consultation should be obtained.
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