Article ; Online: Arterial and venous thromboembolic complications of COVID-19 detected by CT angiogram and venous duplex ultrasound.
2021 Volume 28, Issue 3, Page(s) 469–476
Abstract: ... All CT angiogram (CTA) and venous duplex extremity ultrasound (US) examinations performed on 192 ... with CTA or venous duplex ultrasound had thromboembolic events including PE, DVT, and CVA. This indicates ... chest CTA (86), venous duplex ultrasound (134), and CTA head and neck (25). Among those who underwent ...
| Abstract | Objective: To investigate the incidence of thromboembolic events, specifically pulmonary embolism (PE), deep vein thrombosis (DVT), and cerebrovascular accidents (CVA), in patients who tested positive for COVID-19 through RT-PCR in a regional healthcare system in Connecticut. Materials and methods: All CT angiogram (CTA) and venous duplex extremity ultrasound (US) examinations performed on 192 consecutively documented cases of COVID-19 were retrospectively reviewed at a multi-centered healthcare system. Clinical characteristics and patient outcomes were evaluated and compared between two groups based on the presence or absence of acute thromboembolic events. Results: Of the 16,264 patients tested for COVID-19, 3727 (23%) were positive. Out of those, 192 patients underwent 245 vascular imaging studies including chest CTA (86), venous duplex ultrasound (134), and CTA head and neck (25). Among those who underwent imaging, 49 (26%) demonstrated acute thromboembolic events which included 13/86 (15%) with PE, 34/134 (25%) with DVT, and 6/25 (24%) with CVA. One patient had positive results on all 3 examinations, and 2 patients had positive results on both chest CTA and venous duplex US. Males were more likely to have a thromboembolic event than females (33/103 (34%) vs. 14/89 (16%), p = 0.009). No significant difference was observed with respect to age, cardiopulmonary comorbidities, malignancy history, diabetes, or dialysis. Conclusion: Approximately 26% of COVID-19 patients with positive testing who underwent vascular imaging with CTA or venous duplex ultrasound had thromboembolic events including PE, DVT, and CVA. This indicates that COVID-19 patients are at increased risk for thromboembolic complications. |
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| MeSH term(s) | Aged ; COVID-19/complications ; COVID-19/epidemiology ; Computed Tomography Angiography/methods ; Connecticut/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; SARS-CoV-2 ; Thromboembolism/diagnostic imaging ; Thromboembolism/epidemiology ; Thromboembolism/virology ; Ultrasonography, Doppler, Duplex/methods | |||||
| Language | English | |||||
| Publishing date | 2021-01-11 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article ; Multicenter Study | |||||
| ZDB-ID | 1425144-9 | |||||
| ISSN | 1438-1435 ; 1070-3004 | |||||
| ISSN (online) | 1438-1435 | |||||
| ISSN | 1070-3004 | |||||
| DOI | 10.1007/s10140-020-01884-0 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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