[Thromboaspiration for acute upper limb ischemia in a patient with COVID-19 (case report)].

Presented herein is a clinical case report regarding endovascular thromboaspiration in acute upper limb ischemia having developed on the background of the novel coronavirus infection. A 66-year-old male patient had previously undergone in-hospital treatment for novel coronavirus pneumonia, to be discharged with clinical improvement. After discharge, the man by physician's recommendation continued taking rivaroxaban at a dose of 10 mg daily. Despite this, he developed acute thrombosis of the arteries of the forearm and hand. He was admitted to the City Clinical Hospital № 15 named after O.M. Filatov. The examination revealed a clinical picture corresponding to stage IIa acute upper limb ischemia. Anticoagulant and dual desaggregant therapy did not lead to regress of ischemia. The patient was subjected to thromboaspiration, with restoration of blood flow through upper limb arteries.