EVAR Solution For Acutely Thrombosed Abdominal Aortic Aneurysm in a Patient with COVID-19

Robaldo, Alessandro; Apostolou, Dimitrios; Persi, Federica; Peano, Enrico; Maione, Massimo

doi:10.1016/j.ejvsvf.2022.01.006

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Several groups from countries other than Japan have reported cases of AAO in association with COVID-19 infection [5][6][7] ; however, the incidence of AAO in hospitalized patients with COVID-19 has not been documented. To the best of our knowledge, the case we describe herein is the first case of AAO developing on a background of COVID-19 infection in Japan.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis

Yagi,

Kimura,

Nakano

et al. 2024

Annals of Vascular Diseases

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patients hospitalized with COVID-19 and substantially higher than the reported 0.07% incidence of ALI among 455629 patients hospitalized with non-COVID-19 viral infection. 1) In patients with COVID-19, thrombogenic risk is influenced by ethnic differences and distinct resource availability. 2) A few cases of COVID-19 complicated by ALI have been reported from Japanese institutions. 3) The CLOT-COVID Study, performed to analyze patients with COVID-19 hospitalized at 16 centers in Japan between April 2021 and September 2021 (n = 2894), showed only one patient with ALI, for an incidence of 0.035%. 2) Acute aortic occlusion (AAO) is a life-threatening cardiovascular emergency, and more than 80% of patients with AAO present with bilateral ALI. 4) Although AAO occurring in patients with COVID-19 has been reported outside of Japan, 5-7) its characteristics and treatment outcomes remain to be elucidated. We describe a case of AAO associated with COVID-19 infection and ulcerative colitis (UC).

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Section: Discussionmentioning

confidence: 99%

“…Thrombus recanalization was achieved, followed by endovascular aortic repair. 7) For high-risk patients with a concomitant abdominal aortic aneurysm, endovascular aortic repair may be a less invasive and feasible treatment approach.…”

Section: Discussionmentioning

confidence: 99%

A Case of Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis

Yagi,

Kimura,

Nakano

et al. 2024

Annals of Vascular Diseases

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“…Since the start of the COVID-19 pandemic, COVID-19 infections have repeatedly been reported to be associated with thrombotic events [1]. These events include appositional thrombi localized in the thoraco-abdominal aorta and iliac arteries, at times even leading to complete occlusion of these vessels [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

A Novel Percutaneous Technique for Aorto-Iliac Thrombectomy without the Risk of Embolization

et al. 2023

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Classic surgical thrombectomy of the aorta and iliac arteries through an incision in the groin vessels harbors the risk of embolization to the viscero-renal as well as hypogastric arteries, while percutaneous endovascular thrombectomy techniques can lead to peripheral embolization to the lower limbs. Therefore, we describe a novel, percutaneous technique that tackles the above issues. Furthermore, we also present our initial experience using the technique. The principle of the technique is to percutaneously place large-bore sheaths in the iliac arteries that deliberately occlude the latter to protect the lower limbs from embolization. Through one of these sheaths, over wire Fogarty® catheters can be placed and inflated in the ostia of the coeliac trunk, superior mesenteric artery, renal arteries, and hypogastric arteries as needed. A large thrombectomy balloon catheter is then used to bring any aorto-iliac thrombus into the sheaths, whereafter the thrombus is removed from the sheaths by simply deflating their valves. Additional endovascular procedures of the aorto-iliac branches can be performed as needed. We report nine procedures in 8 patients (4 males and 4 females) with a median age of 63 (53–68.5). Additional endovascular procedures were performed in 6 (66.7%) procedures. All but one procedure were technically successful, and all patients had palpable foot pulses on completion of the procedures, while no patient had clinical signs of peripheral embolization. This technique is a very valid addition to the vascular surgeon’s armamentarium when treating aorto-iliac thrombotic events because it is minimally invasive while still protecting against embolization and offering the flexibility to perform a wide range of additional endovascular procedures where needed.

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The Impact of COVID‐19 Infection on Abdominal Aortic Aneurysms: Mechanisms and Clinical Implications

Cao,

Gao,

et al. 2024

Cardiovascular Therapeutics

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Background: The COVID‐19 virus not only has significant pathogenicity but also influences the progression of many diseases, altering patient prognosis. Cardiovascular diseases, particularly aortic aneurysms, are among the most life‐threatening conditions.Main Idea: COVID‐19 infection is reported to accelerate the progression of abdominal aortic aneurysms (AAAs) and increase the risk of rupture; however, a comprehensive understanding of the underlying mechanisms remains elusive. This article primarily reviews the relevant foundational research, focusing on disruptions in the renin‐angiotensin‐aldosterone system (RAAS), immune system activation, and coagulation disorders. Furthermore, we summarize related clinical research, including the epidemiology of aortic aneurysms during the pandemic and specific case studies.Conclusion: COVID‐19 infection can influence the onset and progression of aortic aneurysms by affecting the RAAS, triggering inflammation and immune dysregulation in the arterial wall, and inducing a hypercoagulation state. It is crucial to comprehensively understand the impact of pandemic viral infections on aortic diseases at the foundational and clinical levels, thereby identifying potential preventative or therapeutic approaches and preparing for potential future outbreaks.

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EVAR Solution For Acutely Thrombosed Abdominal Aortic Aneurysm in a Patient with COVID-19

Cited by 5 publications

References 12 publications

A Case of Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis

A Case of Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis

A Novel Percutaneous Technique for Aorto-Iliac Thrombectomy without the Risk of Embolization

The Impact of COVID‐19 Infection on Abdominal Aortic Aneurysms: Mechanisms and Clinical Implications

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