CASE REPORT - COVID-19 related acute limb ischaemia: A case series
https://doi.org/10.51866/cr.168
- Author:
Jih Huei Tan
1
;
Henry Chor Lip Tan
2
;
Addy Aun Wei Ang
3
;
Ida Arinah Mahadi
4
;
Zi Huan Khoo
5
;
Po Hong Tan
6
;
Mohamad Yuzaidi
7
;
Rizal Imran Alwi
7
;
Tuan Nur Azmah Tuan Mat
7
Author Information
1. MBBS (Manipal), DrSurg (UKM) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
2. MD (UCSI), DrSurg (UKM) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
3. MBBS (IMU) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
4. MBBS MD (USM) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
5. MBBS (NUI) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
6. MBBS IMU Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
7. MMed Surg (UKM) Department of General Surgery, Hospital Sultanah Aminah, Jalan Masjid Sultan Abu Bakar, Johor Bahru, Malaysia.
- Publication Type:Journal Article
- Keywords:
COVID-19;
Limb ischaemia;
Arterial occlusive disease;
Thrombolysis
- MeSH:
COVID-19;
Arterial Occlusive Diseases;
Mechanical Thrombolysis
- From:Malaysian Family Physician
2023;18(All Issues):1-6
- CountryMalaysia
- Language:English
-
Abstract:
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.
- Full text:202508211213343844718.8R2CRCaseseriesofCOVID-19.pdf
