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RESEARCH PRODUCT
Thromboembolic complications of COVID-19: the combined effect of a pro-coagulant pattern and an endothelial thrombo-inflammatory syndrome.
Dario GiambellucaRoberto CannellaM. ArzanauskaiteMassimo MidiriPaolo CabassaFederica VernuccioF LombardoFabio Panzutosubject
AdultMalemedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)Pneumonia ViralDiseaseThromboembolic complicationsCOVID-19 CT ComplicationsSevere Acute Respiratory SyndromeCommunicable Diseases EmergingArticle030218 nuclear medicine & medical imagingBrain IschemiaThromboplastin03 medical and health sciences0302 clinical medicineIntensive careCause of DeathThromboembolismmedicineHumansRadiology Nuclear Medicine and imagingIn patientClinical significanceIntensive care medicinePandemicsAgedbusiness.industrypandemicAnticoagulantsCOVID-19General MedicineMiddle AgedstrokeSurvival AnalysisItalyRadiology Nuclear Medicine and imagingInfectious disease (medical specialty)030220 oncology & carcinogenesisFemaleRadiography ThoracicbusinessSettore MED/36 - Diagnostica Per Immagini E RadioterapiaCoronavirus InfectionsPulmonary EmbolismTomography X-Ray ComputedThrombotic complicationdescription
Coronavirus disease 2019 (COVID-19) is a newly emerging human infectious disease that has quickly become a worldwide threat to health, mainly causing severe acute respiratory syndrome. In addition to the widely described respiratory syndrome, COVID-19 may cause life-treating complications directly or indirectly related to this infection. Among these, thrombotic complications have emerged as an important issue in patients with COVID-19 infection, particularly in patients in intensive care units. Thrombotic complications due to COVID-19 are likely to occur due to a pro-coagulant pattern encountered in some of these patients or to a progressive endothelial thrombo-inflammatory syndrome causing microvascular disease. In the present authors' experience, from five different hospitals in Italy and the UK, imaging has proved its utility in identifying these COVID-19-related thrombotic complications, with translational clinical relevance. The aim of this review is to illustrate thromboembolic complications directly or indirectly related to COVID-19 disease. Specifically, this review will show complications related to thromboembolism due to a pro-coagulant pattern from those likely related to an endothelial thrombo-inflammatory syndrome.
year | journal | country | edition | language |
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2020-11-01 | Clinical radiology |