Bissacco Daniele, Grassi Viviana, Lomazzi Chiara, Domanin Maurizio, Bellosta Raffaello, Piffaretti Gabriele, Trimarchi Santi
Vascular Surgery Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical and Community Sciences, University of Milan, Milan, Italy.
J Card Surg. 2021 May;36(5):1677-1682. doi: 10.1111/jocs.15069. Epub 2020 Oct 4.
Lombardy, in the northern Italy, was one of the most affected region in the world by novel coronavirus COVID-19 outbreak. Due to the dramatic amount of confirmed positive cases and deaths, all clinical and surgical hospital departments changed their daily activities to face emergent pandemic situations. In particular, vascular surgery units reorganized their role and priorities for both elective and urgent patients requiring open or endovascular interventions.
MATERIAL & METHODS: This brief review summarizes organization of vascular Lombardy centers network adopted during pandemic period and clinical evidences published so far by regional referral and nonreferral hospitals in terms of vascular surgery and medicine implications in COVID-19 positive or negative patients managements.
Different patterns of disease were described during phase 1 COVID-19 outbreak in Lombardy region, with major attention in pheriperal artery disease and venous thrombosis.
COVID-19 infection seems to be not only a pulmonary but also a vascular (arterial and venous) disease. Further study are necessary to described mid and long-term outcomes in COVID-19 vascular patients population.
意大利北部的伦巴第是全球受新型冠状病毒COVID-19疫情影响最严重的地区之一。由于确诊阳性病例和死亡人数众多，所有临床和外科医院科室都改变了日常活动，以应对紧急的大流行情况。特别是，血管外科单位重新调整了对需要开放或血管内干预的择期和急诊患者的作用和优先级。
本简要综述总结了大流行期间伦巴第血管中心网络的组织情况，以及该地区转诊和非转诊医院迄今发表的关于COVID-19阳性或阴性患者管理中血管外科和医学影响的临床证据。
在伦巴第地区COVID-19疫情的第一阶段描述了不同的疾病模式，主要关注外周动脉疾病和静脉血栓形成。
COVID-19感染似乎不仅是一种肺部疾病，也是一种血管（动脉和静脉）疾病。有必要进一步研究以描述COVID-19血管患者群体的中长期结果。
