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Pulmonary artery thrombi are co-located with opacifications in SARS-COV2 induced ARDS

Respiratory Medicine Sep 15, 2020

Müller-Peltzer K, Krauß T, Benndorf M, et al. - The present study was conducted to evaluate whether pulmonary artery thrombi are co-located with opacifications in SARS-COV2 induced acute respiratory distress syndrome. Between March 8th and April 15th, 2020, all patients with COVID-19 treated at a medical intensive care unit undergoing computed tomography pulmonary angiography (CTPA) were included. Researchers evaluated all CTPA by two radiologists independently with respect to parenchymal changes and pulmonary embolism on a lung segment basis. Sixteen (age 60.4 ± 10.2 years, 6 female SAPS2 score 49.2 ± 13.9, out of 22 patients with severe COVID-19 treated within the observed time period,) had undergone CT. A total of 288 lung segments were analyzed. It was reported that in COVID-19, thrombi in segmental pulmonary arteries are common and are located in opacitated lung segments. This might suggest local clot formation.

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