A Probable Covid-19 Case Presented with Acute Upper Limb İschemia

Area of Science:

• Vascular Surgery
• Infectious Diseases
• Cardiology

Background:

• Arterial revascularization presents significant challenges in managing COVID-19 associated limb ischemia.
• Acute limb ischemia requires timely and effective intervention to prevent limb loss.

Observation:

• A 64-year-old woman presented with acute ischemic symptoms in her upper extremity.
• The patient was incidentally diagnosed with a probable COVID-19 infection upon admission.
• Initial management with recurrent embolectomies proved unsuccessful due to late presentation.

Findings:

• Intra-arterial thrombolysis was employed as a treatment strategy.
• This approach demonstrated potential benefits in managing the complex ischemic condition.

Implications:

• Intra-arterial thrombolysis may be a viable option for COVID-19 patients with limb ischemia when standard revascularization fails.
• Further research is warranted to establish the efficacy and safety of this treatment in similar cases.
• This case highlights the importance of considering COVID-19 in patients presenting with vascular emergencies.