• J Clin Ultrasound · Nov 2020

    Applicability of bedside ultrasonography for the diagnosis of deep venous thrombosis in patients with COVID-19 and treatment with low molecular weight heparin.

    • Pu Zhang, Yali Qu, Jie Tu, Wen Cao, Ning Hai, Shuo Li, Peng Qu, Chaoyang Lv, and Ruijun Guo.
    • Department of Ultrasound, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
    • J Clin Ultrasound. 2020 Nov 1; 48 (9): 522-526.

    PurposeThe aim of this study was to evaluate the applicability of bedside ultrasonography for the diagnosis of deep venous thrombosis (DVT) in patients infected with corona virus disease 2019 (COVID-19) with and without treatment with low molecular weight heparin (LMWH).MethodsWe retrospectively analyzed the records of deceased and surviving patients in whom ultrasonography detected or not a DVT, and in whom LMWH was or not prescribed.ResultsThe incidence of DVT is higher in the deceased (33/35) than in the surviving (22/46) patients. LMWH was administered in a larger proportion of surviving (18/22) than of deceased (18/33) patients. D-dimer concentrations decreased in patients who received LMWH in both groups.ConclusionsThere was a high incidence of DVT in patients who succumbed to COVID-19. Bedside ultrasonography can detect the presence of DVT as early as possible and help assessing the risk of venous thromboembolism, allowing early and reasonable use of LMWH.© 2020 Wiley Periodicals LLC.

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