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suck abstract from ncbi


10.1177/1179548420957451

http://scihub22266oqcxt.onion/10.1177/1179548420957451
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32952405!7476337!32952405
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suck abstract from ncbi

pmid32952405      Clin+Med+Insights+Circ+Respir+Pulm+Med 2020 ; 14 (?): 1179548420957451
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  • Pulmonary Embolism in COVID-19 Treated with VA-ECLS and Catheter tPA #MMPMID32952405
  • Akoluk A; Mazahir U; Douedi S; Aziz A; Obagi A; Kiss D; Flynn D; Costanzo E; Simsir SA; Saybolt MD
  • Clin Med Insights Circ Respir Pulm Med 2020[]; 14 (?): 1179548420957451 PMID32952405show ga
  • BACKGROUND: Novel coronavirus 2019 (COVID-19) has been the focus of the medical world since being declared a pandemic in March 2020. While the pathogenesis and heterogeneity of COVID-19 manifestations is still not fully understood, viral evasion of cellular immune responses and inflammatory dysregulation are believed to play essential roles in disease progression and severity. CASE PRESENTATION: We present the first case of a patient with COVID-19 with massive pulmonary embolism treated successfully with systemic thrombolysis, VA-ECLS, and bail out catheter directed thrombolysis. He was discharged from the hospital after an eventful hospital course on therapeutic anticoagulation with warfarin. CONCLUSIONS: We present the first case of a patient with COVID-19 with massive pulmonary embolism (PE) treated successfully with systemic thrombolysis, VA-ECLS and bail out catheter directed thrombolysis. In our experience catheter directed thrombolysis comes with an acceptable bleeding risk despite use of mechanical circulatory support, particularly with meticulous attention to vascular access and dose response monitoring.
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