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The COVID-19 thrombus: distinguishing pathological, mechanistic, and phenotypic features and management.

作者信息

Becker Richard C, Tantry Udaya S, Khan Muhammad, Gurbel Paul A

机构信息

Cardiovascular Center, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH, 45267, USA.

Sinai Center for Thrombosis Research and Drug Development, Baltimore, USA.

出版信息

J Thromb Thrombolysis. 2025 Jan;58(1):15-49. doi: 10.1007/s11239-024-03028-4. Epub 2024 Aug 23.


DOI:10.1007/s11239-024-03028-4
PMID:39179952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11762605/
Abstract

A heightened risk for thrombosis is a hallmark of COVID-19. Expansive clinical experience and medical literature have characterized small (micro) and large (macro) vessel involvement of the venous and arterial circulatory systems. Most events occur in patients with serious or critical illness in the hyperacute (first 1-2 weeks) or acute phases (2-4 weeks) of SARS-CoV-2 infection. However, thrombosis involving the venous, arterial, and microcirculatory systems has been reported in the subacute (4-8 weeks), convalescent (> 8-12 weeks) and chronic phases (> 12 weeks) among patients with mild-to-moderate illness. The purpose of the current focused review is to highlight the distinguishing clinical features, pathological components, and potential mechanisms of venous, arterial, and microvascular thrombosis in patients with COVID-19. The overarching objective is to better understand the proclivity for thrombosis, laying a solid foundation for screening and surveillance modalities, preventive strategies, and optimal patient management.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/16a59152c9be/11239_2024_3028_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/a3633a57c0d4/11239_2024_3028_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/05d3804dae17/11239_2024_3028_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/043634cc9701/11239_2024_3028_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/f6defc02d4f6/11239_2024_3028_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/16a59152c9be/11239_2024_3028_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/a3633a57c0d4/11239_2024_3028_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/05d3804dae17/11239_2024_3028_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/043634cc9701/11239_2024_3028_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/f6defc02d4f6/11239_2024_3028_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab33/11762605/16a59152c9be/11239_2024_3028_Fig5_HTML.jpg

相似文献

[1]
The COVID-19 thrombus: distinguishing pathological, mechanistic, and phenotypic features and management.

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[2]
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[3]
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引用本文的文献

[1]
Impact of SARS-CoV-2 Wuhan and Omicron Variant Proteins on Type I Interferon Response.

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[2]
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本文引用的文献

[1]
Laryngectomy in Elderly Patients: A Case Series and Review of the Literature.

Cureus. 2023-11-23

[2]
Symptoms and Impaired Quality of Life After COVID-19 Hospitalization: Effect of Therapeutic Heparin in Non-ICU Patients in the Accelerating COVID-19 Therapeutic Interventions and Vaccines 4 Acute Trial: Effect on 3-Month Symptoms and Quality of Life.

Chest. 2024-4

[3]
Cardiovascular magnetic resonance imaging for sequential assessment of cardiac fibrosis in mice: technical advancements and reverse translation.

Am J Physiol Heart Circ Physiol. 2024-1-1

[4]
Patching up a degraded endothelial glycocalyx in sepsis.

Am J Physiol Heart Circ Physiol. 2023-10-1

[5]
Comorbidities associated with the severity of COVID-19, and differences across ethnic groups: a UK Biobank cohort study.

BMC Public Health. 2023-8-17

[6]
Viable SARS-CoV-2 Omicron sub-variants isolated from autopsy tissues.

Front Microbiol. 2023-5-22

[7]
Effect of P2Y12 Inhibitors on Organ Support-Free Survival in Critically Ill Patients Hospitalized for COVID-19: A Randomized Clinical Trial.

JAMA Netw Open. 2023-5-1

[8]
Clinically stable covid-19 patients presenting to acute unscheduled episodic care venues have increased risk of hospitalization: secondary analysis of a randomized control trial.

BMC Infect Dis. 2023-5-15

[9]
Rivaroxaban for Prevention of Thrombotic Events, Hospitalization, and Death in Outpatients With COVID-19: A Randomized Clinical Trial.

Circulation. 2023-6-20

[10]
Ovarian Vein Thrombosis: A Sequela of COVID-Associated Coagulopathy.

Cureus. 2023-3-20

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