key: cord-0959850-yfxst8bo
authors: Silingardi, Roberto; Gennai, Stefano; Migliari, Mattia; Covic, Tea; Leone, Nicola
title: Acute limb ischemia in COVID-19 patients: Could Aortic Floating Thrombus be the source of embolic complications?
date: 2020-06-17
journal: J Vasc Surg
DOI: 10.1016/j.jvs.2020.06.008
sha: b086386cfd5b2c39241ca4b5a2fad3f12a02e8ac
doc_id: 959850
cord_uid: yfxst8bo

nan

Recently, Bellosta 1 demonstrated a significant higher incidence of acute limb ischemia (ALI) 4 in COVID-19 patients. In addition, an increased failure rate after revascularization occured. 5

The colleagues must be complemented for their clinical and scientific commitments. The 6

increased thrombo-embolic complications in COVID-19 patients have been reported, even in 7 those receiving anticoagulant therapy and either in non-atherosclerotic. 1-3 More than 27.000 8 COVID-19 cases were registered in our region (Emilia-Romagna). Our unit represents the 9 unique Vascular Surgery service in the province of Modena. As tertiary COVID center we 10 did not observed ALI in such patients. It must be taken into account that Bellosta et al. 1 11 provide care in the Italian region with the higher incidence of COVID-19 (Lombardia). 12

However, it remains unclear this difference of incidence in northern Italy. We observed two trends to intra-stent thrombus relapse, we preferred to avoid invasive procedures. 4,5 23

Indeed, the AFT may be a more common source of ALI in COVID-19? 

Acute limb 2 ischemia in patients with COVID-19 pneumonia

Acute limb ischaemia in two 5 young, non-atherosclerotic patients with COVID-19. The Lancet

Group for Global Evaluation and Research in Sepsis)

High risk of thrombosis in patients with severe SARS-10

CoV-2 infection: a multicenter prospective cohort study

Aortic floating thrombus detected 14 by computed tomography angiography incidentally: Five cases and a literature review

COVID-19 17 and haemostasis: a position paper from Italian Society on Thrombosis and Haemostasis