Annals of Vascular Surgery - Brief Reports and Innovations (Sep 2022)

Acute limb ischemia secondary to vaccine-induced inmune thrombotic thrombocytopenia (VITT) after ChAdOx1 nCoV-19

  • Fernando García-Boyano,
  • Clara M. Castro Ávila,
  • Miguel Arguello-Tomás,
  • Álvaro Moreno Cuervo,
  • José Manuel Ligero Ramos,
  • Cristina Pascual-Izquierdo

Journal volume & issue
Vol. 2, no. 3
p. 100102

Abstract

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Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a syndrome that resembles to heparin-induced thrombocytopenia (HIT). Platelet factor 4 (PF-4) reacts to a vaccine component resulting formation of immune complex that stimulates an autoimmune reaction triggering platelet consumption causing thrombus formation and producing thrombotic events. When suspected is important to confirm for make a correct anticoagulation management to avoid complications related to unfractioned and low weight heparins use.In this report we describe a case of acute limb ischemia secondary to ChAdOx1 nCoV-19 vaccine (Astrazeneca, Cambridge, UK)

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