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Practical diagnosis and treatment of suspected venous thromboembolism during COVID-19 Pandemic

Identifieur interne : 000380 ( Pmc/Curation ); précédent : 000379; suivant : 000381

Practical diagnosis and treatment of suspected venous thromboembolism during COVID-19 Pandemic

Auteurs : Andrea T. Obi ; Geoff D. Barnes ; Thomas W. Wakefield ; Sandra Brown Rvt ; Jonathon L. Eliason ; Erika Arndt ; Peter K. Henke

Source :

RBID : PMC:7162794

Abstract

A markedly increased demand for vascular ultrasound laboratory and other imaging studies in COVID-19 positive patients has occurred, due to most with markedly elevated D-dimer, and a presumed prothrombotic state in many of the very ill patients. This article summarizes a broad institutional consensus focusing on evaluation and recommended empirical therapy for COVID-19 positive patients. We recommend following the algorithms with the idea that as more data becomes available that this may well change.


Url:
DOI: 10.1016/j.jvsv.2020.04.009
PubMed: 32305585
PubMed Central: 7162794

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Andrea T. Obi
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>
Geoff D. Barnes
<affiliation>
<nlm:aff id="aff2">Section of Vascular Medicine, Department of Cardiology, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>
Thomas W. Wakefield
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>
Sandra Brown Rvt
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>
Jonathon L. Eliason
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
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Erika Arndt
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>
Peter K. Henke
<affiliation>
<nlm:aff id="aff1">Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</nlm:aff>
<wicri:noCountry code="subfield">University of Michigan Health System</wicri:noCountry>
</affiliation>

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<name sortKey="Kovacs, M J" uniqKey="Kovacs M">M.J. Kovacs</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Underhill, J" uniqKey="Underhill J">J. Underhill</name>
</author>
<author>
<name sortKey="Sherman, M A" uniqKey="Sherman M">M.A. Sherman</name>
</author>
<author>
<name sortKey="Howard, R" uniqKey="Howard R">R. Howard</name>
</author>
<author>
<name sortKey="Hage, A" uniqKey="Hage A">A. Hage</name>
</author>
<author>
<name sortKey="Obi, A" uniqKey="Obi A">A. Obi</name>
</author>
<author>
<name sortKey="Napolitano, L" uniqKey="Napolitano L">L. Napolitano</name>
</author>
<author>
<name sortKey="Coleman, D M" uniqKey="Coleman D">D.M. Coleman</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="editorial">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Vasc Surg Venous Lymphat Disord</journal-id>
<journal-id journal-id-type="iso-abbrev">J Vasc Surg Venous Lymphat Disord</journal-id>
<journal-title-group>
<journal-title>Journal of Vascular Surgery. Venous and Lymphatic Disorders</journal-title>
</journal-title-group>
<issn pub-type="ppub">2213-333X</issn>
<issn pub-type="epub">2213-3348</issn>
<publisher>
<publisher-name>Published by Elsevier Inc. on behalf of the Society for Vascular Surgery.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">32305585</article-id>
<article-id pub-id-type="pmc">7162794</article-id>
<article-id pub-id-type="publisher-id">S2213-333X(20)30221-3</article-id>
<article-id pub-id-type="doi">10.1016/j.jvsv.2020.04.009</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Practical diagnosis and treatment of suspected venous thromboembolism during COVID-19 Pandemic</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Obi</surname>
<given-names>Andrea T.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Barnes</surname>
<given-names>Geoff D.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Wakefield</surname>
<given-names>Thomas W.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au4">
<name>
<surname>Brown RVT</surname>
<given-names>Sandra</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au5">
<name>
<surname>Eliason</surname>
<given-names>Jonathon L.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au6">
<name>
<surname>Arndt</surname>
<given-names>Erika</given-names>
</name>
<degrees>BA</degrees>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au7">
<name>
<surname>Henke</surname>
<given-names>Peter K.</given-names>
</name>
<degrees>MD</degrees>
<email>henke@umich.edu</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Section of Vascular Surgery, Department of Surgery, University of Michigan Health System</aff>
<aff id="aff2">
<label>b</label>
Section of Vascular Medicine, Department of Cardiology, University of Michigan Health System</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Reprint requests to Peter K. Henke, MD, University of Michigan Health System (UMHS), 1500 E. Medical Center Drive, Cardiovascular Center - 5463, Ann Arbor, MI 48109-5867. Phone: (734) 763-0250, FAX: (734) 647-9867.
<email>henke@umich.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>17</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub">
<day>17</day>
<month>4</month>
<year>2020</year>
</pub-date>
<history>
<date date-type="received">
<day>2</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© 2020 Published by Elsevier Inc. on behalf of the Society for Vascular Surgery.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder></copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010">
<p>A markedly increased demand for vascular ultrasound laboratory and other imaging studies in COVID-19 positive patients has occurred, due to most with markedly elevated D-dimer, and a presumed prothrombotic state in many of the very ill patients. This article summarizes a broad institutional consensus focusing on evaluation and recommended empirical therapy for COVID-19 positive patients. We recommend following the algorithms with the idea that as more data becomes available that this may well change.</p>
</abstract>
<kwd-group id="kwrds0010">
<title>Keywords</title>
<kwd>anticoagulant</kwd>
<kwd>deep venous thrombosis</kwd>
<kwd>venous thromboembolism</kwd>
<kwd>pulmonary embolism</kwd>
<kwd>duplex ultrasound</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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