Mechanical Thrombectomy in Pulmonary Embolism Associated with COVID-19: A "Clotography" Gallery.
- Resource Type
- Article
- Authors
- Balanescu, Dinu V.; Kado, Herman S.; Mertens, Amy; Chand, Rajat; Savin, Michael; McNally, Vicki; Bowers, Terry R.
- Source
- Vascular & Endovascular Surgery. Nov2021, Vol. 55 Issue 8, p903-906. 4p.
- Subject
- *CAUSES of death
*PULMONARY embolism
*COVID-19
*VEINS
*CONVALESCENCE
*DISEASES
*VEIN surgery
*TREATMENT effectiveness
*RISK assessment
*EMBOLISMS
*VASCULAR surgery
*THROMBECTOMY
*THROMBOEMBOLISM
*HEMODYNAMICS
*FIBRIN fibrinogen degradation products
*DISEASE risk factors
*DISEASE complications
- Language
- ISSN
- 1538-5744
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. [ABSTRACT FROM AUTHOR]