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. 2021 Dec;49(6):480-483.
doi: 10.5152/TJAR.2020.1135.

Thrombotic Events Related to Extracorporeal Membrane Oxygenation in COVID-19-Associated Severe Acute Respiratory Distress Syndrome

Verda Tuna  1 , Perihan Ergin Özcan  1 , Emre Çeliksoy  1 , Özlem Polat  1 , İlkay Anaklı  1 , Günseli Orhun  1 , Gülçin Alay  1 , Figen Esen  1
Affiliations

Thrombotic Events Related to Extracorporeal Membrane Oxygenation in COVID-19-Associated Severe Acute Respiratory Distress Syndrome

Verda Tuna et al. Turk J Anaesthesiol Reanim. 2021 Dec.

Abstract

Hypercoagulopathy associated with the novel coronavirus disease (COVID-19) is the leading cause of acute respiratory distress syndrome (ARDS), multiple organ failure, and mortality. Extracorporeal membrane oxygenation (ECMO) has been used to manage patients with COVID 19-associated severe respiratory or cardiac failure. In this report, we aim to summarise our experience with deadly thrombotic complications during venovenous ECMO (vvECMO) treatment in 6 patients with COVID-19-associated ARDS between March 19, 2020 and April 20, 2020. Based on our experience with 6 COVID-19-associated ARDS patients on ECMO, we intend to raise awareness regarding thrombotic complications leading to mortality.

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Figures

Figure 1.
Figure 1.
Cannula thrombosis during percutaneous cannula insertion
Figure 2.
Figure 2.
Major oxygenator thrombosis one day after starting the vvECMO treatment vvECMO: venovenous extracorporeal membrane oxygenation
Figure 3.
Figure 3.
Intracardiac thrombosis diagnosed by echocardiography
See this image and copyright information in PMC

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