COVID-19 The epidemic is characterized by a dangerously high incidence of hyperclotting in patients who threaten their lives with clots that suddenly cut off the blood supply to vital organs such as the heart, lungs, brain, bowel and kidneys. cause sudden death or serious complications such as stroke, kidney failure. Visceral attack.
Significantly, in the second wave, Covid-19 patients reported clots in the vessels supplying blood to organs including toes, feet, hands and fingers. Due to late diagnosis and lack of timely access to vascular surgeons many people lost their limbs due to the setting of gangrene.
Indeed, a study conducted by the Institute of Vascular and Endovascular Sciences (IVES) at Sir Ganga Ram Hospital found that the incidence of such clots in the limbs was higher in the second wave, and patients presented with dead legs and feet. had gone.
“Out of the 92 COVID-19 positive patients treated at IVES, 19% patients lost their limbs as they had to undergo amputation due to a myriad of reasons including late presentation to the hospital, inability to undergo clot removal surgery due to severe COVID-19. Had to have surgery. -19 disease. 11 patients lost their lives due to severe Covid,” said Dr Varinder Bedi, head of the department at IVES.
On the positive front, the organs of 68% of these patients can be saved with medical and endovascular interventions. “Clot removal surgery was performed in 38 patients in a hybrid vascular cath lab equipped with an advanced angiography system. In addition, the latest endovascular techniques including dissolving the clot with drugs (thrombolysis) and suction of the clot were performed in eight patients. The remaining 46 patients were treated with blood thinners and supportive care,” Dr Bedi said.
Dr Bedi said the prevalence of thrombosis in COVID-19 patients was found to be higher among those with diabetes, although the exact incidence remains unknown.
Dr Ajay Yadav, Organizing Secretary of the 5th Endovascular Live Conference titled EVL- 2021 said that Vascular Surgeons from nine reputed institutes across India will share their experience in treating complex cases of Diabetic Foot, Deep Vein Thrombosis (DVT) and COVID-19. 19 related thrombosis emergencies at the regional level. The surgeons will also perform live surgeries at an event attended by over 300 vascular specialists on a hybrid platform as part of EVL 2021 in Delhi on August 13-14.
“The main objective of the conference is to prepare all experts to reduce the damage caused by the deadly COVID-19 pandemic and to learn new strategies and techniques to prevent organ damage due to hyper clotting. Special organ rescue techniques will also be focused on through mutual education,” Dr Bedi said.
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