Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report

GUNERTEM, EREN; BOZKURT, AHMET KÜRŞAT; Çalkavur, İsmet Tanzer; erdil, nevzat; Aslim, Erdal; Sargin, Murat; YAVAS, SONER; Uguz, Emrah; Şırlak, Mustafa; Akay, Hakkı Tankut

doi:10.9739/tjvs.2020.775

Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report

Eren GÜNERTEM, (Başkent Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Hakkı Tankut AKAY, (Başkent Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Murat SARGIN, (Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Nevzat ERDİL, (İnönü Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Malatya, Türkiye)

Emrah UĞUZ, (Ankara Şehir Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Erdal ASLIM, (İstinye Üniversitesi, Tıp Fakültesi, Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Soner YAVAŞ, (Ankara Şehir Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Mustafa ŞIRLAK, (Ankara Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Tanzer ÇALKAVUR, (Ege Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Kürşad BOZKURT (Cerrahpaşa Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Turkish journal of vascular surgery

3 3

Yıl: 2020 Cilt: 29 Sayı: 3 Sayfa Aralığı: 208 - 221 Metin Dili: İngilizce DOI: 10.9739/tjvs.2020.775 İndeks Tarihi: 19-10-2021

Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report

Öz:

Coronavirus disease-2019 (COVID-19) has become a global threat. The entire population is now under the risk. Healthcare providers areconcerned about handling an increased number of COVID-19 patients in limited capacities of facilities. Some therapies are being postponedindefinitely. Patients with vascular diseases usually have multiple comorbidities and, therefore, many of them are prone to infection.However, vascular surgical pathologies are usually related to progressive diseases. Postponement may not be possible for every patient inthis group of patients. Thus, prioritization is crucial and a specialized algorithm is needed. In this review, we provide a succinct overview ofarterial and venous emergencies and present a classification system and treatment algorithm on an individual basis.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. World Health Organization. WHO announces COVID- 19 outbreak a pandemic. Available at: http://www.euro. who.int/en/health-topics/health-emergencies/coronaviruscovid- 19/news/news/2020/3/who-announces-covid-19- outbreak-apandemic. [Accessed: April 02, 2020]
2. Aboyans V, Ricco JB, Bartelink MEL, Björck M, Brodmann M, Cohnert T, et al. Editor’s Choice - 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018;55:305-68.
3. Rooke TW, Hirsch AT, Misra S, Sidawy AN, Beckman JA, Findeiss L, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;61:1555-70.
4. Lane R, Ellis B, Watson L, Leng GC. Exercise for intermittent claudication. Cochrane Database Syst Rev 2014;7:CD000990.
5. Mills JL Sr, Conte MS, Armstrong DG, Pomposelli FB, Schanzer A, Sidawy AN, et al. The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI). J Vasc Surg 2014;59:220-34.
6. Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, et al. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 1997;26:517-38.
7. McCready RA, Pairolero PC, Gilmore JC, Kazmier FJ, Cherry KJ Jr, Hollier LH. Isolated iliac artery aneurysms. Surgery 1983;93:688-93.
8. Wanhainen A, Verzini F, Van Herzeele I, Allaire E, Bown M, Cohnert T, et al. Editor’s Choice-European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg 2019;57:8-93.
9. Santilli SM, Wernsing SE, Lee ES. Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg 2000;31:114-21.
10. Sampson UK, Norman PE, Fowkes FG, Aboyans V, Yanna Song, Harrell FE Jr, et al. Global and regional burden of aortic dissection and aneurysms: mortality trends in 21 world regions, 1990 to 2010. Glob Heart 2014;9:171-80.
11. Sampson UK, Norman PE, Fowkes FG, Aboyans V, Song Y, Harrell FE Jr, et al. Estimation of global and regional incidence and prevalence of abdominal aortic aneurysms 1990 to 2010. Glob Heart 2014;9:159-70.
12. Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 2014;35:2873-926.
13. Bown MJ, Sweeting MJ, Brown LC, Powell JT, Thompson SG. Surveillance intervals for small abdominal aortic aneurysms: a meta-analysis. JAMA 2013;309:806-13.
14. Coady MA, Rizzo JA, Hammond GL, Mandapati D, Darr U, Kopf GS, et al. What is the appropriate size criterion for resection of thoracic aortic aneurysms? J Thorac Cardiovasc Surg 1997;113:476-91.
15. Johansson G, Markström U, Swedenborg J. Ruptured thoracic aortic aneurysms: a study of incidence and mortality rates. J Vasc Surg 1995;21:985-8.
16. Moro H, Hayashi J, Sogawa M. Surgical management of the ruptured aortic arch. Ann Thorac Surg 1999;67:593-4.
17. Weiss G, Wolner I, Folkmann S, Sodeck G, Schmidli J, Grabenwöger M, et al. The location of the primary entry tear in acute type B aortic dissection affects early outcome. Eur J Cardiothorac Surg 2012;42:571-6.
18. Ganaha F, Miller DC, Sugimoto K, Do YS, Minamiguchi H, Saito H, et al. Prognosis of aortic intramural hematoma with and without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation 2002;106:342-8.
19. Schlösser FJ, Gusberg RJ, Dardik A, Lin PH, Verhagen HJ, Moll FL, et al. Aneurysm rupture after EVAR: can the ultimate failure be predicted? Eur J Vasc Endovasc Surg 2009;37:15-22.
20. Sidloff DA, Stather PW, Choke E, Bown MJ, Sayers RD. Type II endoleak after endovascular aneurysm repair. Br J Surg 2013;100:1262-70.
21. Hasse B, Husmann L, Zinkernagel A, Weber R, Lachat M, Mayer D. Vascular graft infections. Swiss Med Wkly 2013;143:w13754.
22. Samson RH, Veith FJ, Janko GS, Gupta SK, Scher LA. A modified classification and approach to the management of infections involving peripheral arterial prosthetic grafts. J Vasc Surg 1988;8:147-53.
23. Bonifati DM, Lorenzi A, Ermani M, Refatti F, Gremes E, Boninsegna C, et al. Carotid stenosis as predictor of stroke after transient ischemic attacks. J Neurol Sci 2011;303:85-9.
24. Nordanstig A, Rosengren L, Strömberg S, Österberg K, Karlsson L, Bergström G, et al. Editor's Choice - Very Urgent Carotid Endarterectomy is Associated with an Increased Procedural Risk: The Carotid Alarm Study. Eur J Vasc Endovasc Surg 2017;54:278-86.
25. White RH. The epidemiology of venous thromboembolism. Circulation 2003;107:I4-8.
26. Oguzkurt L, Ozkan U, Demirturk OS, Gur S. Endovascular treatment of phlegmasia cerulea dolens with impending venous gangrene: manual aspiration thrombectomy as the first-line thrombus removal method. Cardiovasc Intervent Radiol 2011;34:1214-21.
27. 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 COVID-19. Thromb Res 2020. pii: S0049-3848(20)30120- 1. [Epub ahead of print]
28. Günertem E, Akay T, Aliyev A, Beyazpınar S, Erdil N, Erer D, et al. Treatment and prophylaxis strategies for deep vein thrombosis during COVID-19 outbreak. Turk J Vasc Surg 2020. [In Press]
29. Bergqvist D, Lindholm C, Nelzén O. Chronic leg ulcers: the impact of venous disease. J Vasc Surg 1999;29:752-5.
30. Schrag D, Hershman DL, Basch E. Oncology Practice During the COVID-19 Pandemic. JAMA 2020. [Epub ahead of print]
31. Gettman MT, Boelter CW, Cheville JC, Zincke H, Bryant SC, Blute ML. Charlson co-morbidity index as a predictor of outcome after surgery for renal cell carcinoma with renal vein, vena cava or right atrium extension. J Urol 2003;169:1282-6.
32. Available at: https://www.facs.org/covid-19/clinicalguidance/ elective-case/vascular-surgery
33. Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg 2018;67:2-77.
34. Meissner MH, Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DLet al. Early thrombus removal strategies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2012;55:1449-62.
35. Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, et al. Corrigendum to ‘Global Vascular Guidelines on the Management of Chronic Limb- Threatening Ischemia’ [European Journal of Vascular & Endovascular Surgery 58/1S (2019) 1-109]. Eur J Vasc Endovasc Surg 2020;59:492-3.
36. Chen X, Liu Y, Gong Y, Guo X, Zuo M, Li J, et al. Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists. Anesthesiology 2020;132:1307-16.
37. Bozkurt K. Periferik Arter ve Ven Hastalıkları-Ulusal Tedavi Kılavuzu. 1. Baskı. İstanbul: Bayçınar Tıbbi Yayıncılık; 2016.
38. Zhang HF, Bo L, Lin Y, Li FX, Sun S, Lin HB, et al. Response of Chinese Anesthesiologists to the COVID-19 Outbreak. Anesthesiology 2020;132:1333-8.
39. Orser BA. Recommendations for Endotracheal Intubation of COVID-19 Patients. Anesth Analg 2020;130:1109-10.
40. Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, et al. SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients. N Engl J Med 2020;382:1177-9.
41. Meng H, Xiong R, He R, Lin W, Hao B, Zhang L, et al. CT imaging and clinical course of asymptomatic cases with COVID-19 pneumonia at admission in Wuhan, China. J Infect 2020. pii: S0163-4453(20)30211-5. [Epub ahead of print]
42. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395:1054-62.
43. Chan JF, Yao Y, Yeung ML, Deng W, Bao L, Jia L, et al. Treatment With Lopinavir/Ritonavir or Interferonb1b Improves Outcome of MERS-CoV Infection in a Nonhuman Primate Model of Common Marmoset. J Infect Dis 2015;212:1904-13.
44. Kim UJ, Won EJ, Kee SJ, Jung SI, Jang HC. Combination therapy with lopinavir/ritonavir, ribavirin and interferon-a for Middle East respiratory syndrome. Antivir Ther 2016;21:455-9.
45. Wang Y, Fan G, Salam A, Horby P, Hayden FG, Chen C, et al. Comparative Effectiveness of Combined Favipiravir and Oseltamivir Therapy Versus Oseltamivir Monotherapy in Critically Ill Patients With Influenza Virus Infection. J Infect Dis 2020;221:1688-98.
46. Gautret P, Lagier JC, Parola P, Hoang VT, Meddeb L, Mailhe M, et al. Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label nonrandomized clinical trial. Int J Antimicrob Agents 2020. [Epub ahead of print]
47. Aktoz M, Altay H, Aslanger E, Atalar E, Aytekin V, Baykan AO, et al. Türk Kardiyoloji Derneği Uzlaşı Raporu: COVID-19 Pandemisi ve Kardiyovasküler Hastalıklar Konusunda Bilinmesi Gerekenler (25 Mart 2020) [Consensus Report from Turkish Society of Cardiology: COVID-19 and Cardiovascular Diseases. What cardiologists should know. (25th March 2020)]. Turk Kardiyol Dern Ars 2020;48:1-48.

APA	GUNERTEM E, Akay H, Sargin M, erdil n, Uguz E, Aslim E, YAVAS S, Şırlak M, Çalkavur İ, BOZKURT A (2020). Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. , 208 - 221. 10.9739/tjvs.2020.775
Chicago	GUNERTEM EREN,Akay Hakkı Tankut,Sargin Murat,erdil nevzat,Uguz Emrah,Aslim Erdal,YAVAS SONER,Şırlak Mustafa,Çalkavur İsmet Tanzer,BOZKURT AHMET KÜRŞAT Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. (2020): 208 - 221. 10.9739/tjvs.2020.775
MLA	GUNERTEM EREN,Akay Hakkı Tankut,Sargin Murat,erdil nevzat,Uguz Emrah,Aslim Erdal,YAVAS SONER,Şırlak Mustafa,Çalkavur İsmet Tanzer,BOZKURT AHMET KÜRŞAT Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. , 2020, ss.208 - 221. 10.9739/tjvs.2020.775
AMA	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. . 2020; 208 - 221. 10.9739/tjvs.2020.775
Vancouver	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. . 2020; 208 - 221. 10.9739/tjvs.2020.775
IEEE	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A "Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report." , ss.208 - 221, 2020. 10.9739/tjvs.2020.775
ISNAD	GUNERTEM, EREN vd. "Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report". (2020), 208-221. https://doi.org/10.9739/tjvs.2020.775

APA	GUNERTEM E, Akay H, Sargin M, erdil n, Uguz E, Aslim E, YAVAS S, Şırlak M, Çalkavur İ, BOZKURT A (2020). Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. Turkish journal of vascular surgery, 29(3), 208 - 221. 10.9739/tjvs.2020.775
Chicago	GUNERTEM EREN,Akay Hakkı Tankut,Sargin Murat,erdil nevzat,Uguz Emrah,Aslim Erdal,YAVAS SONER,Şırlak Mustafa,Çalkavur İsmet Tanzer,BOZKURT AHMET KÜRŞAT Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. Turkish journal of vascular surgery 29, no.3 (2020): 208 - 221. 10.9739/tjvs.2020.775
MLA	GUNERTEM EREN,Akay Hakkı Tankut,Sargin Murat,erdil nevzat,Uguz Emrah,Aslim Erdal,YAVAS SONER,Şırlak Mustafa,Çalkavur İsmet Tanzer,BOZKURT AHMET KÜRŞAT Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. Turkish journal of vascular surgery, vol.29, no.3, 2020, ss.208 - 221. 10.9739/tjvs.2020.775
AMA	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. Turkish journal of vascular surgery. 2020; 29(3): 208 - 221. 10.9739/tjvs.2020.775
Vancouver	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report. Turkish journal of vascular surgery. 2020; 29(3): 208 - 221. 10.9739/tjvs.2020.775
IEEE	GUNERTEM E,Akay H,Sargin M,erdil n,Uguz E,Aslim E,YAVAS S,Şırlak M,Çalkavur İ,BOZKURT A "Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report." Turkish journal of vascular surgery, 29, ss.208 - 221, 2020. 10.9739/tjvs.2020.775
ISNAD	GUNERTEM, EREN vd. "Paradigm shifts in terms of vascular emergencies during COVID-19 outbreak: An Expert Opinion report". Turkish journal of vascular surgery 29/3 (2020), 208-221. https://doi.org/10.9739/tjvs.2020.775