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Case series of nebulizing r-tPA for COVID-19 induced acute respiratory distress syndrome.

Shahideh AminiZohreh Labbani-MotlaghRasoul AliannejadSeyed Mohammad PourabbasMohammad Vasei
Published in: Clinical case reports (2022)
Fibrin deposition in the alveolar spaces during pulmonary involvement of COVID-19 impairs the O 2 /CO 2 exchange and leads to respiratory symptoms. In this report, Recombinant Tissue Plasminogen Activator (r-tPA) has been nebulized to 3 critically ill COVID-19 patients in order to resolve the deposited fibrin while avoiding the risk of bleeding. Based on these observations, nebulization of r-tPA may be a potential therapeutic approach and new area of research for future studies.
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