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

Patel, Love / Gandhi, Darshan / Westergard, Emily / Ornes, Michael / Lillyblad, Matthew / Skeik, Nedaa

World journal of radiology

2019  Volume 13, Issue 3, Page(s) 64–74

Abstract: ... Since early in the pandemic, studies indicated a heightened risk of venous thromboembolism (VTE) in COVID-19 ... of assisting clinicians in decision making and guidance for when to be concerned for VTE in COVID-19 patients ... As we continue to fight against the current coronavirus disease-2019 (COVID-19) pandemic ...

Abstract 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.
Language English
Publishing date 2019-08-01
Publishing country United States
Document type Journal Article ; Review
ZDB-ID 2573705-3
ISSN 1949-8470
ISSN 1949-8470
DOI 10.4329/wjr.v13.i3.64
Database MEDical Literature Analysis and Retrieval System OnLINE

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