COVID-19 related acute limb ischaemia: A case series
COVID-19 infection or vaccination is rarely associated with arterial occlusive disease of the extremities. The surgical department of a hospital in Johor, Malaysia, recorded a significant increase in the number of COVID-19-related acute limb ischaemia when the rates of COVID-19 were high both locall...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Academy of Family Physicians of Malaysia
2023-03-01
|
| Series: | Malaysian Family Physician |
| Subjects: | |
| Online Access: | https://e-mfp.org/wp-content/uploads/18.8R2CRCaseseriesofCOVID-19.pdf |
| _version_ | 1827956304304406528 |
|---|---|
| author | Jih Huei Tan Henry Chor Lip Tan Addy Aun Wei Ang Ida Arinah Mahadi Zi Huan Khoo Po Hong Tan Mohamad Yuzaidi Rizal Imran Alwi Tuan Nur Azmah Tuan Mat |
| author_facet | Jih Huei Tan Henry Chor Lip Tan Addy Aun Wei Ang Ida Arinah Mahadi Zi Huan Khoo Po Hong Tan Mohamad Yuzaidi Rizal Imran Alwi Tuan Nur Azmah Tuan Mat |
| author_sort | Jih Huei Tan |
| collection | DOAJ |
| description | COVID-19 infection or vaccination is rarely associated with arterial occlusive disease of the extremities. The surgical department of a hospital in Johor, Malaysia, recorded a significant increase in the number of COVID-19-related acute limb ischaemia when the rates of COVID-19 were high both locally and internationally. The clinical presentation and management of acute limb ischaemia associated with COVID-19 infection or vaccination are largely underreported in Johor. Herein, we report a case series of 12 patients managed with strategies ranging from purely anticoagulation to catheter-directed thrombolysis and surgical embolectomy. This case series describes the clinical presentation, risk profiles, treatment approaches and limb outcomes of the patients. The amputation rate was high in view of unfavourable factors, including delayed presentation, high-risk factors and severe COVID-19. Three cases of potential COVID-19 vaccine-related acute limb ischaemia were included. COVID-19-related acute limb ischaemia can be minimised with heightened alert, preemptive optimisation with proper hydration and consideration for early prophylactic anticoagulation in high-risk cases. |
| first_indexed | 2024-04-09T15:02:18Z |
| format | Article |
| id | doaj.art-d357045539b342d8aff4edf2369509fa |
| institution | Directory Open Access Journal |
| issn | 1985-207X 1985-2274 |
| language | English |
| last_indexed | 2024-04-09T15:02:18Z |
| publishDate | 2023-03-01 |
| publisher | Academy of Family Physicians of Malaysia |
| record_format | Article |
| series | Malaysian Family Physician |
| spelling | doaj.art-d357045539b342d8aff4edf2369509fa2023-05-01T16:41:41ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-207X1985-22742023-03-0118810.51866/cr.168COVID-19 related acute limb ischaemia: A case seriesJih Huei TanHenry Chor Lip TanAddy Aun Wei AngIda Arinah MahadiZi Huan KhooPo Hong TanMohamad YuzaidiRizal Imran AlwiTuan Nur Azmah Tuan MatCOVID-19 infection or vaccination is rarely associated with arterial occlusive disease of the extremities. The surgical department of a hospital in Johor, Malaysia, recorded a significant increase in the number of COVID-19-related acute limb ischaemia when the rates of COVID-19 were high both locally and internationally. The clinical presentation and management of acute limb ischaemia associated with COVID-19 infection or vaccination are largely underreported in Johor. Herein, we report a case series of 12 patients managed with strategies ranging from purely anticoagulation to catheter-directed thrombolysis and surgical embolectomy. This case series describes the clinical presentation, risk profiles, treatment approaches and limb outcomes of the patients. The amputation rate was high in view of unfavourable factors, including delayed presentation, high-risk factors and severe COVID-19. Three cases of potential COVID-19 vaccine-related acute limb ischaemia were included. COVID-19-related acute limb ischaemia can be minimised with heightened alert, preemptive optimisation with proper hydration and consideration for early prophylactic anticoagulation in high-risk cases.https://e-mfp.org/wp-content/uploads/18.8R2CRCaseseriesofCOVID-19.pdfcovid-19limb ischaemiaarterial occlusive diseasethrombolysis |
| spellingShingle | Jih Huei Tan Henry Chor Lip Tan Addy Aun Wei Ang Ida Arinah Mahadi Zi Huan Khoo Po Hong Tan Mohamad Yuzaidi Rizal Imran Alwi Tuan Nur Azmah Tuan Mat COVID-19 related acute limb ischaemia: A case series Malaysian Family Physician covid-19 limb ischaemia arterial occlusive disease thrombolysis |
| title | COVID-19 related acute limb ischaemia: A case series |
| title_full | COVID-19 related acute limb ischaemia: A case series |
| title_fullStr | COVID-19 related acute limb ischaemia: A case series |
| title_full_unstemmed | COVID-19 related acute limb ischaemia: A case series |
| title_short | COVID-19 related acute limb ischaemia: A case series |
| title_sort | covid 19 related acute limb ischaemia a case series |
| topic | covid-19 limb ischaemia arterial occlusive disease thrombolysis |
| url | https://e-mfp.org/wp-content/uploads/18.8R2CRCaseseriesofCOVID-19.pdf |
| work_keys_str_mv | AT jihhueitan covid19relatedacutelimbischaemiaacaseseries AT henrychorliptan covid19relatedacutelimbischaemiaacaseseries AT addyaunweiang covid19relatedacutelimbischaemiaacaseseries AT idaarinahmahadi covid19relatedacutelimbischaemiaacaseseries AT zihuankhoo covid19relatedacutelimbischaemiaacaseseries AT pohongtan covid19relatedacutelimbischaemiaacaseseries AT mohamadyuzaidi covid19relatedacutelimbischaemiaacaseseries AT rizalimranalwi covid19relatedacutelimbischaemiaacaseseries AT tuannurazmahtuanmat covid19relatedacutelimbischaemiaacaseseries |