Proposed Algorithm for Treatment of Pulmonary Embolism in COVID-19 Patients.
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
12
06
2020
accepted:
16
08
2020
pubmed:
7
9
2020
medline:
29
12
2020
entrez:
6
9
2020
Statut:
ppublish
Résumé
There is mounting evidence that COVID-19 patients may possess a hypercoagulable profile that increases their risk for thromboembolic complications, including pulmonary embolism (PE). PE has been associated with an increase in morbidity, mortality, prolonged ventilation, and extended ICU admissions. Intervention is warranted in some patients who develop acute massive and submassive PEs. However, the development of PE in COVID-19 patients is often complicated by such factors as delay of diagnosis, confounding medical conditions, and strict isolation precautions. In addition, depleted cardiopulmonary reserve and prone positioning can make management of PE in these patients especially challenging for the physician. In this article, we review current understanding of PE in COVID-19 patients, summarize consensus data regarding the treatment of PE, and propose an algorithm to guide the management of COVID-19 patients with PE.
Identifiants
pubmed: 32891745
pii: S0890-5096(20)30768-8
doi: 10.1016/j.avsg.2020.08.088
pmc: PMC7471764
pii:
doi:
Types de publication
Letter
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
282-285Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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