Misdiagnosed Acute Limb Ischemia in Three Nonhospitalized Patients Recovering From a Nonsevere COVID-19 Infection

• Published in: Annals of vascular surgery Vol. 75; pp. 140 - 143
• Main Authors: Pasqui, Edoardo, de Donato, Gianmarco, Brancaccio, Brenda, Casilli, Giulia, Ferrante, Giulia, Palasciano, Giancarlo
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.08.2021
• Subjects: Acute Disease; Acute limb Ischemia; Aged; Aged, 80 and over; Amputation, Surgical; Anticoagulants - therapeutic use; Blood Vessel Prosthesis Implantation; COVID-19; COVID-19 - complications; COVID-19 - diagnosis; COVID-19 - therapy; COVID-19 Case Series; Delayed Diagnosis; Diagnostic Errors; Embolectomy; Humans; Ischemia - diagnostic imaging; Ischemia - etiology; Ischemia - surgery; Limb salvage; Male; Peripheral Arterial Disease - diagnostic imaging; Peripheral Arterial Disease - etiology; Peripheral Arterial Disease - surgery; Peripheral artery disease; Predictive Value of Tests; Thrombectomy; Thrombolytic Therapy; Time-to-Treatment; Treatment Outcome; COVID-19; PA; DUS; OR; Peripheral artery disease; Limb salvage; Acute limb Ischemia; ALI; ATA; SFA
• ISSN: 0890-5096; 1615-5947
• DOI: 10.1016/j.avsg.2021.04.029

The incidence of venous and arterial thromboembolic complications in COVID-19 patients is significant. The vast majority of COVID-19 patients spend their quarantine at home in a self-isolation condition. The occurrence of Acute limb ischemia (ALI) is a dangerous event that needs prompt diagnosis and management with time-dependent recanalization outcomes. We present a case series of three COVID-19 patients who suffered from ALI that occurred during home self-isolation, and that were diagnosed and treated with a significant time-delay due to COVID-19 social implications.