Logo do repositório
 
Publicação

Update of the European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia in Light of the COVID-19 Pandemic, Based on a Scoping Review of the Literature

2022-01Recensão Acesso aberto
Ver registo simples
dc.contributor.authorJongkind, Vincent
dc.contributor.authorEarnshaw, Jonothan J
dc.contributor.authorBastos Gonçalves, Frederico
dc.contributor.authorCochennec, Frederic
dc.contributor.authorDebus, E Sebastian
dc.contributor.authorHinchliffe, Robert
dc.contributor.authorMenyhei, Gabor
dc.contributor.authorSvetlikov, Alexei V
dc.contributor.authorTshomba, Yamume
dc.contributor.authorVan Den Berg, Jos C
dc.contributor.authorBjörck, Martin
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblElsevier
dc.date.accessioned2021-11-12T23:48:11Z
dc.date.available2021-11-12T23:48:11Z
dc.date.issued2022-01
dc.description.abstractOBJECTIVE: To perform a scoping review of how patients with COVID-19 are affected by acute limb ischaemia (ALI) and evaluate the recommendations of the 2020 ESVS ALI Guidelines for these patients. METHODS: Research questions were defined, and a systematic literature search was performed following the PRISMA guidelines. Abstracts and unpublished literature were not included. The definition of ALI in this review is in accordance with the ESVS guidelines. RESULTS: Most identified papers were case reports or case series, although population based data and data from randomised controlled trials were also identified. In total, 114 unique and relevant papers were retrieved. Data were conflicting concerning whether the incidence of ALI increased, or remained unchanged, during the pandemic. Case reports and series reported ALI in patients who were younger and healthier than usual, with a greater proportion affecting the upper limb. Whether or not this is coincidental remains uncertain. The proportion of men/women affected seems unchanged. Most reported cases were in hospitalised patients with severe COVID-19. Patients with ALI as their first manifestation of COVID-19 were reported. Patients with ALI have a worse outcome if they have a simultaneous COVID-19 infection. High levels of D-dimer may predict the occurrence of arterial thromboembolic events in patients with COVID-19. Heparin resistance was observed. Anticoagulation should be given to hospitalised COVID-19 patients in prophylactic dosage. Most of the treatment recommendations from the ESVS Guidelines remained relevant, but the following were modified regarding patients with COVID-19 and ALI: 1) CTA imaging before revascularisation should include the entire aorta and iliac arteries; 2) there should be a high index of suspicion, early testing for COVID-19 infection and protective measures are advised; and 3) there should be preferential use of local or locoregional anaesthesia during revascularisation. CONCLUSION: Although the epidemiology of ALI has changed during the pandemic, the recommendations of the ESVS ALI Guidelines remain valid. The above mentioned minor modifications should be considered in patients with COVID-19 and ALI.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent390907
dc.identifier.doi10.1016/j.ejvs.2021.08.028
dc.identifier.issn1078-5884
dc.identifier.otherPURE: 34678126
dc.identifier.otherPURE UUID: e2f27ad0-2521-45a1-9519-c3e9be81d343
dc.identifier.otherPubMed: 34686452
dc.identifier.otherPubMedCentral: PMC8418912
dc.identifier.otherScopus: 85117416049
dc.identifier.otherWOS: 000746506900015
dc.identifier.urihttp://hdl.handle.net/10362/127646
dc.language.isoeng
dc.peerreviewedyes
dc.titleUpdate of the European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia in Light of the COVID-19 Pandemic, Based on a Scoping Review of the Literatureen
dc.typereview
degois.publication.firstPage80
degois.publication.issue1
degois.publication.lastPage89
degois.publication.titleEuropean Journal of Vascular And Endovascular Surgery
degois.publication.volume63
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
1_s2.0_S1078588421006882_main.pdf
Tamanho:
381.75 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS - Artigos em revista internacional com arbitragem científica