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CASE REPORT
Year : 2022  |  Volume : 22  |  Issue : 1  |  Page : 54-57

Catheter-directed thrombolysis in a COVID-19 patient complicated with pulmonary embolism


Department of Cardiology, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey

Correspondence Address:
Dr. Betul Balaban Kocas
Department of Cardiology, Prof. Dr. Cemil Tascioglu City Hospital, Kaptanpasa Street, Okmeydani, Sisli, 34384 Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2452-2473.336102

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Since December 2019, the novel coronavirus (COVID-19) outbreak has become an important public health problem and one of the most common causes of morbidity and mortality worldwide. COVID-19 is highly associated with thromboembolic events, like deep venous thrombosis and pulmonary embolism (PE). Catheter-directed thrombolysis (CDT) provides effective reperfusion for the treatment of PE. We report a patient who was presented with intermediate-risk PE and had a saccular aneurysm of the anterior cerebral artery. The patient was suffered from recent COVID-19 infection and ischemic stroke. As the patient had high bleeding risk for full-dose systemic thrombolytic therapy, CDT was the preferred method for reperfusion. Finally, the patient was discharged from the hospital uneventfully 4 days later. In the setting of high bleeding risk, CDT seems to be an effective and safe approach in patients with intermediate-risk PE.


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