COVID-19 and venous thromboembolism: Known and unknown for imaging decisions.

Anticoagulation COVID-19 Computed tomography scan Point of care ultrasound Venous thromboembolism

Journal

World journal of radiology
ISSN: 1949-8470
Titre abrégé: World J Radiol
Pays: United States
ID NLM: 101538184

Informations de publication

Date de publication:
28 Mar 2021
Historique:
received: 29 01 2021
revised: 02 03 2021
accepted: 22 03 2021
entrez: 5 4 2021
pubmed: 6 4 2021
medline: 6 4 2021
Statut: ppublish

Résumé

As we continue to fight against the current coronavirus disease-2019 (COVID-19) pandemic, healthcare professionals across the globe are trying to answer questions surrounding how to best help patients with the up-to-date available science while awaiting the development of new therapies and mass vaccination. Since early in the pandemic, studies indicated a heightened risk of venous thromboembolism (VTE) in COVID-19 infected patients. There have been differing expert opinions about how to assess pretest probability of VTE in this patient population. This has been partly due to the high prevalence of respiratory failure in this patient population and the use of D-dimer as a prognostic test which is also frequently elevated in patients with COVID-19 in absence of VTE. Some experts have argued for an approach similar to usual care with testing if clinical suspicion is high enough. Some have argued for more routine screening at different points of care. Others have even suggested empiric therapeutic anti-coagulation in moderate to severely ill COVID-19 patients. In the following article, we review and summarize the most current literature in hopes of assisting clinicians in decision making and guidance for when to be concerned for VTE in COVID-19 patients. We also discuss research gaps and share pathways currently being used within our institution.

Identifiants

pubmed: 33815684
doi: 10.4329/wjr.v13.i3.64
pmc: PMC8006055
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

64-74

Informations de copyright

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: The authors declare that they have no competing or conflicts of interests.

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Auteurs

Love Patel (L)

Division of Hospital Medicine, Abbott Northwestern Hospital, Allina Health, Minneapolis, MN 55407, United States.

Darshan Gandhi (D)

Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States. darshan.gandhi@northwestern.edu.

Emily Westergard (E)

Department of Graduate Medical Education, Abbott Northwestern Hospital, Minneapolis, MN 55408, United States.

Michael Ornes (M)

Division of Hospital Medicine, Abbott Northwestern Hospital, Allina Health, Minneapolis, MN 55407, United States.

Matthew Lillyblad (M)

Department of Pharmacy, Abbott Northwestern Hospital, Allina Health, Minneapolis, MN 55407, United States.

Nedaa Skeik (N)

Minneapolis Heart Institute, Abbott Northwestern Hospital, Allina Health, Minneapolis, MN 55407, United States.

Classifications MeSH