D-Dimer and Thrombosis in COVID-19

被引:0
作者
Thachil, Jecko [1 ]
机构
[1] Manchester Univ Hosp, Dept Haematol, Oxford Rd, Manchester, Lancs, England
关键词
COVID-19; COVID thrombosis; D-dimer;
D O I
10.4103/ijves.ijves_67_21
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The coronavirus disease 2019 (COVID-19) pandemic has taken medical community by surprise, but it also saw significant advances in understanding of infection induced coagulopathy. Pulmonary and macrovascular thrombosis is one of the hallmarks of this pandemic and has intrigued vascular surgeons world over. In this review, the lessons learnt from COVID-19 coagulopathy are summarised with some perspectives on role of newer concepts of immune mediated thrombosis and endothelial inflammation. D-dimers have become one of the most discussed inflammatory marker and also one of the commonest blood tests ordered in the COVID-19 pandemic. Its usefulness in management of COVID induced thrombosis has been a matter of debate and this article looks in to evidence based application of D-dimer in clinical practice. Role of Heparins, Direct Oral Anticoagulants (DOACs) and anti-platelets in prophylaxis and management of vascular thrombosis has also been summarised.
引用
收藏
页码:6 / 10
页数:5
相关论文
共 26 条
[1]  
Bristogiannis Sotirios, 2021, Advances in Biological Regulation, V81, P100819, DOI 10.1016/j.jbior.2021.100819
[2]   Coagulopathy in COVID-19 [J].
Iba, Toshiaki ;
Levy, Jerrold H. ;
Levi, Marcel ;
Thachil, Jecko .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2020, 18 (09) :2103-2109
[3]   The unique characteristics of COVID-19 coagulopathy [J].
Iba, Toshiaki ;
Levy, Jerrold H. ;
Connors, Jean Marie ;
Warkentin, Theodore E. ;
Thachil, Jecko ;
Levi, Marcel .
CRITICAL CARE, 2020, 24 (01)
[4]   Coagulopathy of Coronavirus Disease 2019 [J].
Iba, Toshiaki ;
Levy, Jerrold H. ;
Levi, Marcel ;
Connors, Jean Marie ;
Thachil, Jecko .
CRITICAL CARE MEDICINE, 2020, 48 (09) :1358-1364
[5]   Coagulation abnormalities and thrombosis in patients with COVID-19 [J].
Levi, Marcel ;
Thachil, Jecko ;
Iba, Toshiaki ;
Levy, Jerrold H. .
LANCET HAEMATOLOGY, 2020, 7 (06) :E438-E440
[6]   Scientific and Standardization Committee communication: Clinical guidance on the diagnosis, prevention, and treatment of venous thromboembolism in hospitalized patients with COVID-19 [J].
Spyropoulos, Alex C. ;
Levy, Jerrold H. ;
Ageno, Walter ;
Connors, Jean Marie ;
Hunt, Beverley J. ;
Iba, Toshiaki ;
Levi, Marcel ;
Samama, Charles Marc ;
Thachil, Jecko ;
Giannis, Dimitrios ;
Douketis, James D. .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2020, 18 (08) :1859-1865
[7]   Heparin - Messias or Verschlimmbesserung? [J].
Swan, Dawn ;
Carrier, Marc ;
Lisman, Ton ;
Thachil, Jecko .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2021, 19 (10) :2373-2382
[8]  
Tang N, 2020, J THROMB HAEMOST, V18, P844, DOI [10.1111/jth.14768, 10.1111/jth.14820]
[9]   Understanding the COVID-19 coagulopathy spectrum [J].
Thachil, J. ;
Agarwal, S. .
ANAESTHESIA, 2020, 75 (11) :1432-1436
[10]   ISTH interim guidance on recognition and management of coagulopathy in COVID-19 [J].
Thachil, Jecko ;
Tang, Ning ;
Gando, Satoshi ;
Falanga, Anna ;
Cattaneo, Marco ;
Levi, Marcel ;
Clark, Cary ;
Iba, Toshiaki .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2020, 18 (05) :1023-1026