Mechanical Thrombectomy in Pulmonary Embolism Associated with COVID-19: A "Clotography" Gallery.
Vascular and endovascular surgery
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.
Balanescu DV, Kado HS, Mertens A, Chand R, Savin M, McNally V, Bowers TR. 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. PMID: 34355600.