Mechanical Thrombectomy in Pulmonary Embolism Associated with COVID-19: A "Clotography" Gallery

Vasc Endovascular Surg. 2021 Nov;55(8):903-906. doi: 10.1177/15385744211037600. Epub 2021 Aug 6.

Abstract

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.

Keywords: COVID-19; mechanical thrombectomy; pulmonary embolectomy; pulmonary embolism; venous thromboembolism.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers / blood
  • Blood Coagulation*
  • COVID-19 / complications*
  • COVID-19 / diagnosis
  • COVID-19 / virology
  • Female
  • Fibrin Fibrinogen Degradation Products / metabolism
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Embolism / blood
  • Pulmonary Embolism / diagnosis
  • Pulmonary Embolism / therapy*
  • Pulmonary Embolism / virology
  • Thrombectomy*
  • Treatment Outcome
  • Young Adult

Substances

  • Biomarkers
  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D