COVID-19 and acute limb ischemia : a systematic review
INTRODUCTION: The main goal of this systematic review was to analyze the outcomes of acute limb ischemia (ALI) in patients suffering from the novel Coronavirus: COVID-19 (SARS-CoV-2).
EVIDENCE ACQUISITION: A systematic review on Medline and Embase was conducted up to May 15, 2021. All papers were sorted by abstract and full text by two independent authors. Systematic reviews, commentaries, and studies that did not distinguish status of COVID-19 infection were excluded from review. Patient demographics were recorded along with modality of treatment (endovascular and/or surgical). We analyzed 30-day outcomes, including mortality. Primary outcome was to evaluate clinical characteristic of ALI in patients affected by SARS-CoV-2 in term of location of ischemia, treatment options and 30-day outcomes.
EVINDENCE SYNTHESIS: We selected 36 articles with a total of 194 patients. Most patients were male (80%) with a median age of 60 years old. The treatment most used was thromboembolectomy (31% of all surgical interventions). A total of 32 patients (19%) were not submitted to revascularization due to critical status. The rate of technical success was low (68%), and mortality rate was high (35%).
CONCLUSIONS: This review confirms that SARS-CoV-2 is associated with a high risk of ALI. Further studies are needed to investigate the association and elucidate potential mechanisms, which may include a hypercoagulable state and hyperactivation of the immune response. Furthermore, management of ALI is not standardized and depends on patient condition and extension of the thrombosed segment. ALI in COVID-19 patients is associated with high risk of failure of revascularization and perioperative mortality.
| Errataetall: |
CommentIn: J Cardiovasc Surg (Torino). 2022 Feb;63(1):114. - PMID 35179339 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:62 |
|---|---|
| Enthalten in: |
The Journal of cardiovascular surgery - 62(2021), 6 vom: 27. Dez., Seite 542-547 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Attisani, Luca [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 19.01.2022 Date Revised 22.02.2022 published: Print-Electronic CommentIn: J Cardiovasc Surg (Torino). 2022 Feb;63(1):114. - PMID 35179339 Citation Status MEDLINE |
|---|
| doi: |
10.23736/S0021-9509.21.12017-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM331231344 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM331231344 | ||
| 003 | DE-627 | ||
| 005 | 20231225213017.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.23736/S0021-9509.21.12017-8 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1104.xml |
| 035 | |a (DE-627)NLM331231344 | ||
| 035 | |a (NLM)34581552 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Attisani, Luca |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a COVID-19 and acute limb ischemia |b a systematic review |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 19.01.2022 | ||
| 500 | |a Date Revised 22.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Cardiovasc Surg (Torino). 2022 Feb;63(1):114. - PMID 35179339 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: The main goal of this systematic review was to analyze the outcomes of acute limb ischemia (ALI) in patients suffering from the novel Coronavirus: COVID-19 (SARS-CoV-2) | ||
| 520 | |a EVIDENCE ACQUISITION: A systematic review on Medline and Embase was conducted up to May 15, 2021. All papers were sorted by abstract and full text by two independent authors. Systematic reviews, commentaries, and studies that did not distinguish status of COVID-19 infection were excluded from review. Patient demographics were recorded along with modality of treatment (endovascular and/or surgical). We analyzed 30-day outcomes, including mortality. Primary outcome was to evaluate clinical characteristic of ALI in patients affected by SARS-CoV-2 in term of location of ischemia, treatment options and 30-day outcomes | ||
| 520 | |a EVINDENCE SYNTHESIS: We selected 36 articles with a total of 194 patients. Most patients were male (80%) with a median age of 60 years old. The treatment most used was thromboembolectomy (31% of all surgical interventions). A total of 32 patients (19%) were not submitted to revascularization due to critical status. The rate of technical success was low (68%), and mortality rate was high (35%) | ||
| 520 | |a CONCLUSIONS: This review confirms that SARS-CoV-2 is associated with a high risk of ALI. Further studies are needed to investigate the association and elucidate potential mechanisms, which may include a hypercoagulable state and hyperactivation of the immune response. Furthermore, management of ALI is not standardized and depends on patient condition and extension of the thrombosed segment. ALI in COVID-19 patients is associated with high risk of failure of revascularization and perioperative mortality | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Systematic Review | |
| 650 | 7 | |a Anticoagulants |2 NLM | |
| 700 | 1 | |a Pucci, Alessandro |e verfasserin |4 aut | |
| 700 | 1 | |a Luoni, Giorgio |e verfasserin |4 aut | |
| 700 | 1 | |a Luzzani, Luca |e verfasserin |4 aut | |
| 700 | 1 | |a Pegorer, Matteo A |e verfasserin |4 aut | |
| 700 | 1 | |a Settembrini, Alberto M |e verfasserin |4 aut | |
| 700 | 1 | |a Bissacco, Daniele |e verfasserin |4 aut | |
| 700 | 1 | |a Wohlauer, Max V |e verfasserin |4 aut | |
| 700 | 1 | |a Piffaretti, Gabriele |e verfasserin |4 aut | |
| 700 | 1 | |a Bellosta, Raffaello |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The Journal of cardiovascular surgery |d 1960 |g 62(2021), 6 vom: 27. Dez., Seite 542-547 |w (DE-627)NLM000005231 |x 1827-191X |7 nnns |
| 773 | 1 | 8 | |g volume:62 |g year:2021 |g number:6 |g day:27 |g month:12 |g pages:542-547 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.23736/S0021-9509.21.12017-8 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 62 |j 2021 |e 6 |b 27 |c 12 |h 542-547 | ||