دورية أكاديمية
Rapid popliteal artery release sensu A.N. Kazantsev in acute thrombosis in patients with COVID-19
| العنوان: | Rapid popliteal artery release sensu A.N. Kazantsev in acute thrombosis in patients with COVID-19 |
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| المؤلفون: | A. N. Kazantsev, K. P. Chernykh, G. Sh. Bagdavadze, N. E. Zarkua, E. Yu. Kalinin, S. V. Artyukhov, A. E. Chikin, Yu. P. Linets |
| المصدر: | Российский кардиологический журнал, Vol 26, Iss 5 (2021) |
| بيانات النشر: | «FIRMA «SILICEA» LLC, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | covid-19, novel coronavirus infection, coronavirus, pandemic, thrombosis, popliteal artery, thrombectomy, repeated trombectomy, cytokine storm, compartment syndrome, hyperperfusion syndrome, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Aim. To analyze the outcomes of popliteal thrombectomy using the standard release technique with vascular instruments and rapid release sensu A. N. Kazantsev in patients with acute popliteal artery thrombosis (PAT) and coronavirus disease 2019 (COVID-19).Material and methods. The present prospective single-center study for the period from April 1, 2020 to March 17, 2021 included 157 patients with acute PAT and COVID-19 at the Alexandrovskaya City Hospital. All patients were divided into 2 groups depending on the popliteal artery access: group 1 (n=88; 56%) — rapid release sensu A. N. Kazantsev; group 2 (n=69; 44%) — standard popliteal artery release using vascular instruments (vascular forceps and scissors) and tourniquets. Rapid popliteal artery release was distinguished by the fact that fasciotomy and hemostasis, the fatty tissue behind it and up to the artery was torn with two index fingers. First, the fingers were joined together at the lateral edges and inserted into the wound middle. Then the wound together with tissues was stretched with fingers to proximal and distal edges until the popliteal artery was visualized. Further, a Beckmann retractor was used to fix the torn fiber to the upper and lower wound walls. The tourniquets were not used.Results. Surgical access duration (group 1, 4,5±1,3 minutes; group 2, 11,41±0,9 minutes; p=0,005), as well as the total procedure duration (group 1, 47,5±2,8 minutes; group 2, 62,15±4,5 min; p=0,001) had the lowest values in the group of rapid popliteal artery release. Moreover, all intraoperative bleedings (n=11; 15,9%) was recorded in group 2 as a result of popliteal vein injuries and/or bleeding from popliteal artery. The retrombosis rate in the rapid release group was lower (group 1, 40,9%; group 2, 55,1%; p=0,03). On the first day after surgery, 18% of thrombosis developed in group 1, and 39% in group 2. The mortality rate was highest in the standard artery release group (group 1, 55,7%; group 2, 86,9%; p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | Russian |
| تدمد: | 1560-4071 2618-7620 |
| Relation: | https://russjcardiol.elpub.ru/jour/article/view/4413; https://doaj.org/toc/1560-4071; https://doaj.org/toc/2618-7620 |
| DOI: | 10.15829/1560-4071-2021-4413 |
| URL الوصول: | https://doaj.org/article/7f35e1a1eaee4d44a8b84c72c3073068 |
| رقم الأكسشن: | edsdoj.7f35e1a1eaee4d44a8b84c72c3073068 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 15604071 26187620 |
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| DOI: | 10.15829/1560-4071-2021-4413 |