{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:05:20Z","timestamp":1753887920126,"version":"3.41.2"},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract  Background During the COVID-19 pandemic, there was a substantial increase in the number of severely ill hospitalized patients, which coincided with a corresponding increase in the consumption of medical supplies, including vascular devices. In this context, vascular surgeons perceived an absolute increase in complications associated with their use.  Objectives To calculate the rate of severe complications requiring surgical vascular intervention following vascular device implantation during the COVID-19 pandemic.  Methods A retrospective cohort was conducted to investigate complications associated with vascular devices, such as central venous catheters (CVC), arterial lines, peripherally inserted central catheters (PICCs), totally implantable venous catheters, and semi-implantable venous catheters. The exposed population was defined based on the number of vascular devices used during the pandemic period, identified using the WPDHOSP materials management software. A total of 1,708 consultations with the vascular surgery team were analyzed using Medview medical record software. Patient records were evaluated, selecting those requiring vascular intervention.  Results Out of a total of 16,988 vascular devices used, 25 patients needed surgical or endovascular vascular interventions. This corresponds to a severe complication rate of 0.14%. The complications found were intravascular foreign body, active bleeding, pseudoaneurysm, unintentional arterial implantation, expanding cervical hematoma, acute limb ischemia, and arteriovenous fistula. Patients underwent vascular procedures such as foreign body removal, arterial repair, arterial embolization, endovascular stenting, arterial thrombectomy, and arteriovenous fistula repair.  Conclusions The severe complication rate is consistent with incidences found in the pre-pandemic literature.<\/jats:p>","DOI":"10.1590\/1677-5449.202400772","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T11:03:03Z","timestamp":1747652583000},"source":"Crossref","is-referenced-by-count":0,"title":["Complications of use of vascular devices during the covid-19 pandemic: a retrospective cohort"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1659-2194","authenticated-orcid":false,"given":"Johann Viktor","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8409-0326","authenticated-orcid":false,"given":"Wander Eduardo","family":"Sardinha","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1787-0646","authenticated-orcid":false,"given":"Jos\u00e9 Manoel da Silva","family":"Silvestre","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-352X","authenticated-orcid":false,"given":"Guilherme da Silva","family":"Silvestre","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3375-2116","authenticated-orcid":false,"given":"Ualid Saleh","family":"Hatoum","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7330-3764","authenticated-orcid":false,"given":"Nat\u00e1lia Scaneiro Boy","family":"Sardinha","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1390-5901","authenticated-orcid":false,"given":"Renne","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil; Universidade Federal da Fronteira Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5411-5554","authenticated-orcid":false,"given":"Mariana Ragassi","family":"Urbano","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/j.jiph.2021.09.018","article-title":"Managing critical care during COVID-19 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M","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"ref39","doi-asserted-by":"crossref","DOI":"10.1590\/1677-5449.202101992","article-title":"An unusual case of femoral arteriovenous fistula associated with acute limb ischemia following femoral vein catheterization for hemodialysis","volume":"21","author":"Gooneratne T","year":"2022","journal-title":"J Vasc Bras"},{"issue":"2","key":"ref40","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1590\/1677-5449.011516","article-title":"Cateteres venosos centrais de inser\u00e7\u00e3o perif\u00e9rica: alternativa ou primeira escolha em acesso vascular?","volume":"16","author":"Di Santo MK","year":"2017","journal-title":"J Vasc Bras"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Complica\u00e7\u00f5es no uso de dispositivos vasculares no per\u00edodo da pandemia de covid-19: uma coorte retrospectiva"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492025000100313&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T11:03:09Z","timestamp":1747652589000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492025000100313&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":40,"alternative-id":["S1677-54492025000100313"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202400772","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"type":"electronic","value":"1677-7301"},{"type":"print","value":"1677-5449"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240077"}}