Mechanical Thrombectomy in Pulmonary Embolism Associated with COVID-19: A "Clotography" Gallery.
Dinu V BalanescuHerman S KadoAmy MertensRajat ChandMichael SavinVicki McNallyTerry R BowersPublished in: Vascular and endovascular surgery (2021)
Venous thromboembolism from a "thrombotic storm"-like syndrome is a major cause of morbidity and mortality in patients with active or "recovered" COVID-19. Patients should be risk-stratified, optimally by a pulmonary embolism (PE) response team (PERT), and considered for escalation of care if found with intermediate or high-risk PE. We present a series of patients with COVID-19-associated PE and thrombotic storm with D-dimer >10 000 ng/mL who underwent successful mechanical thrombectomy for intermediate to high-risk PE. All patients had immediate improvement in hemodynamics and large amounts of thrombi were retrieved.
Keyphrases
- pulmonary embolism
- inferior vena cava
- venous thromboembolism
- sars cov
- end stage renal disease
- palliative care
- ejection fraction
- coronavirus disease
- newly diagnosed
- healthcare
- quality improvement
- peritoneal dialysis
- prognostic factors
- case report
- patient reported outcomes
- direct oral anticoagulants
- clinical trial
- open label
- atrial fibrillation
- chronic pain
- respiratory syndrome coronavirus
- study protocol