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Covid-19 Hastasında Tedavi Sonrası Nadir Görülen Vasküler Komplikasyonu: Renal Arter Trombozu

Year 2022, Volume: 36 Issue: 3, 351 - 355, 27.01.2023
https://doi.org/10.18614/deutip.1150441

Abstract

COVID-19 (koronavirüs hastalığı-2019) enfeksiyonunda solunum semptomları baskın olsa da, ağır hasta grubunda ekstrapulmoner sistemik bulgular görülebilir. COVID-19’da hastaların yüksek arteriyel ve venöz trombotik komplikasyon insidansına sahip olduğunu gösteren çalışmalar mevcuttur. Akut renal arter trombozu, COVID-19 hastalığının trombotik komplikasyonları arasında bile daha nadir bir arteryel tromboembolizm tipini temsil eder. Bu tür komplikasyonlar özellikle enfeksiyonun aktif fazı sırasında ortaya çıkmaktadır. Bu yazıda, COVID-19 pnömoni tedavisi sonrası taburcu edilen bir hastada profilaktik antitrombotik tedaviye rağmen renal arter trombüsü gelişen nadir bir olguyu sunuyoruz.

References

  • 1. D. Bari, S. Paul, W. Reese, K. Danny, and S. K. Douglas, “Hypercoagulability in COVID-19: identification of arterial and venous thromboembolism in the abdomen, pelvis, and lower extremities,” American Journal of Roentgenology, vol. 216, 2021.
  • 2. Shah A, Donovan K, McHugh A, et al. Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study. Crit Care 2020 241. 2020;24(1):1–10
  • 3. Tan B. K., Mainbourg S., Friggeri A., Bertoletti L., Douplat M., Dargaud, Y., ... & Lega, J. C. (2021). Arterial and venous thromboembolism in COVID-19: a study-level meta-analysis. Thorax, 76(10), 970-979
  • 4. El Shamy O, Munoz-Casablanca N, Coca S, Sharma S, Lookstein R, Uribarri J. Bilateral renal artery thrombosis in a patient with COVID-19. Kidney Med 2021; 3:116-9.
  • 5. Ergün R., Ergün D., Shalabi H. S., Shalabi M. Y., Kanat F., Tulek B., Yormaz B.,Nayman A. COVID-19 and Renal Artery Thrombosis: A case report, Respir Case Rep 2022;11(1):25-29
  • 6. R.K. Lessman, S.F. Johnson, J.W. Coburn, J.J. Kaufman Renal artery embolism: clinical features and long term follow up of 17 cases Ann Intern Med, 89 (1978), pp. 477-482
  • 7. Z. Korzets, E. Plotkin, J. Bernheim, R. Zissin The clinical spectrum of acute renal infarction Isr Med Assoc J, 4 (2002), pp. 781-784
  • 8. M.N. Lango How did we get here? Short history of COVID-19 and other coronavirus-related epidemics Head Neck, 42 (7) (2020), pp. 1535-153
  • 9. Avila, J.; Long, B.; Holladay, D.; Gottlieb, M. Thrombotic complications of COVID-19. Am. J. Emerg. Med. 2021, 39, 213–218
  • 10. Lodigiani, C.; Iapichino, G.; Carenzo, L.; Cecconi, M.; Ferrazzi, P.; Sebastian, T.; Kucher, N.; Studt, J.D.; Sacco, C.; Bertuzzi, A.; et al. Humanitas COVID-19 Task Force. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb. Res. 2020, 191, 9–14.
  • 11. Gentili, Georgina, et al. "Kidney infarction in patient with covid-19: clinical case." Revista Mexicana de Urología 82.1 (2022): 1-8.
  • 12. Singh B, Mechineni A, Kaur P, Ajdir N, Maroules M, Shamoon F, et al. Acute intestinal ischemia in a Patient with COVID-19 Infection. Korean J Gastroenterol 2020; 76:164-6.
  • 13. Jain, A., Bector, G., Jain, D., Makkar, V., & Mehta, S. (2022). Renal artery thrombosis with renal infarction secondary to COVID-19 infection: A rare presentation.
  • 14. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID19. Thromb Res. 2020; 191:145-7
  • 15. Y. Yamanouchi, K. Yamamoto, K. Noda, K. Tomori, T. Kinoshita Renal infarction in a patient with spontaneous dissection of segmental arteries: diffusion-weighted magnetic resonance imaging Am J Kidney Dis, 52 (2008), pp. 788-791
  • 16. L.A. Miller, S.E. Mirvis, K. Shanmuganathan, A.S. Ohson CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications Clin Radiol, 59 (4) (2004), pp. 342-348
  • 17. K. Ouriel, C.H. Andrus, J.J. Ricotta, J.A. DeWeese, R.M. Green Acute renal artery occlusion: when is revascularization justified? J Vasc Surg, 5 (1987), pp. 348-355

Rarely Seen Vascular Complication After Treatment in a Covid-19 Patient: Renal Artery Thrombosis

Year 2022, Volume: 36 Issue: 3, 351 - 355, 27.01.2023
https://doi.org/10.18614/deutip.1150441

Abstract

Although respiratory symptoms are dominant in COVID-19 (coronavirus disease-2019) infection, extrapulmonary systemic findings may be seen in the extremely sick group. Studies are showing that patients have a high incidence of arterial and venous thrombotic complications in COVID-19. Acute renal artery thrombosis represents a rarer type of arterial thromboembolism, even among the thrombotic complications of COVID-19 disease. Such complications appear especially during the active phase of the infection. In this article, a rare case of renal artery thrombus in a discharged patient after treatment for COVID-19 pneumonia despite prophylactic antithrombotic treatment is offered.

References

  • 1. D. Bari, S. Paul, W. Reese, K. Danny, and S. K. Douglas, “Hypercoagulability in COVID-19: identification of arterial and venous thromboembolism in the abdomen, pelvis, and lower extremities,” American Journal of Roentgenology, vol. 216, 2021.
  • 2. Shah A, Donovan K, McHugh A, et al. Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study. Crit Care 2020 241. 2020;24(1):1–10
  • 3. Tan B. K., Mainbourg S., Friggeri A., Bertoletti L., Douplat M., Dargaud, Y., ... & Lega, J. C. (2021). Arterial and venous thromboembolism in COVID-19: a study-level meta-analysis. Thorax, 76(10), 970-979
  • 4. El Shamy O, Munoz-Casablanca N, Coca S, Sharma S, Lookstein R, Uribarri J. Bilateral renal artery thrombosis in a patient with COVID-19. Kidney Med 2021; 3:116-9.
  • 5. Ergün R., Ergün D., Shalabi H. S., Shalabi M. Y., Kanat F., Tulek B., Yormaz B.,Nayman A. COVID-19 and Renal Artery Thrombosis: A case report, Respir Case Rep 2022;11(1):25-29
  • 6. R.K. Lessman, S.F. Johnson, J.W. Coburn, J.J. Kaufman Renal artery embolism: clinical features and long term follow up of 17 cases Ann Intern Med, 89 (1978), pp. 477-482
  • 7. Z. Korzets, E. Plotkin, J. Bernheim, R. Zissin The clinical spectrum of acute renal infarction Isr Med Assoc J, 4 (2002), pp. 781-784
  • 8. M.N. Lango How did we get here? Short history of COVID-19 and other coronavirus-related epidemics Head Neck, 42 (7) (2020), pp. 1535-153
  • 9. Avila, J.; Long, B.; Holladay, D.; Gottlieb, M. Thrombotic complications of COVID-19. Am. J. Emerg. Med. 2021, 39, 213–218
  • 10. Lodigiani, C.; Iapichino, G.; Carenzo, L.; Cecconi, M.; Ferrazzi, P.; Sebastian, T.; Kucher, N.; Studt, J.D.; Sacco, C.; Bertuzzi, A.; et al. Humanitas COVID-19 Task Force. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb. Res. 2020, 191, 9–14.
  • 11. Gentili, Georgina, et al. "Kidney infarction in patient with covid-19: clinical case." Revista Mexicana de Urología 82.1 (2022): 1-8.
  • 12. Singh B, Mechineni A, Kaur P, Ajdir N, Maroules M, Shamoon F, et al. Acute intestinal ischemia in a Patient with COVID-19 Infection. Korean J Gastroenterol 2020; 76:164-6.
  • 13. Jain, A., Bector, G., Jain, D., Makkar, V., & Mehta, S. (2022). Renal artery thrombosis with renal infarction secondary to COVID-19 infection: A rare presentation.
  • 14. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID19. Thromb Res. 2020; 191:145-7
  • 15. Y. Yamanouchi, K. Yamamoto, K. Noda, K. Tomori, T. Kinoshita Renal infarction in a patient with spontaneous dissection of segmental arteries: diffusion-weighted magnetic resonance imaging Am J Kidney Dis, 52 (2008), pp. 788-791
  • 16. L.A. Miller, S.E. Mirvis, K. Shanmuganathan, A.S. Ohson CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications Clin Radiol, 59 (4) (2004), pp. 342-348
  • 17. K. Ouriel, C.H. Andrus, J.J. Ricotta, J.A. DeWeese, R.M. Green Acute renal artery occlusion: when is revascularization justified? J Vasc Surg, 5 (1987), pp. 348-355
There are 17 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Case Studies
Authors

Semih Sağlık 0000-0002-4224-9272

Necip Nas 0000-0002-0927-5217

Mehmet Öztürk 0000-0001-5585-1476

Publication Date January 27, 2023
Submission Date September 12, 2022
Published in Issue Year 2022 Volume: 36 Issue: 3

Cite

Vancouver Sağlık S, Nas N, Öztürk M. Rarely Seen Vascular Complication After Treatment in a Covid-19 Patient: Renal Artery Thrombosis. J DEU Med. 2023;36(3):351-5.