Journal of Vascular and Endovascular Therapy

A COVID-19 Case Complicated by Acute Pulmonary Embolism Underwent EKOS Thrombolysis with Favorable Outcome

We report a case of a 53 year-old man who presented with simultaneous COVID-19 infection and acute saddle pulmonary embolus with right heart strain. He underwent bilateral pulmonary artery ultrasound accelerated (EKOS) thrombolysis with successful resolution of pulmonary artery thrombus.His respiratory status significantly improved and follow-up echocardiography demonstrated normalization of right ventricular function and size.In the setting of critically ill COVID-19 patients who demonstrates respiratory deterioration with other clinical evidence of venous thrombosis, pulmonary embolism and subsequent ultrasound assisted catheter-directed thrombolysis (USAT) may be considered.

Author(s):

Lifen Cao, John Liuzzo, Anjali Ratnathicam, Massimo Napolitano, Gregory Simonian and David O’Connor

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