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Updated: Nov 25, 2025

In Vitro Microfluidic Disease Model to Study Whole Blood-Endothelial Interactions and Blood Clot Dynamics in Real-Time
Published on: May 24, 2020
COVID-19 and thrombosis: From bench to bedside
Mohammad A M Ali1, Sarah A Spinler2
1Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, State University of New York- Binghamton, NY, USA.
Insights
Coronavirus disease 2019 (COVID-19) increases the risk of blood clots. This review examines COVID-19
Area of Science:
- Cardiology
- Infectious Diseases
- Hematology
Background:
- COVID-19, a respiratory illness caused by SARS-CoV-2, is linked to increased risk of venous and arterial thromboembolic events.
- The association between COVID-19 and thrombosis is a significant area of scientific interest.
- Understanding this link is crucial for patient management and treatment strategies.
Purpose of the Study:
- To review current knowledge on the association between COVID-19 and thrombosis.
- To explore molecular and cellular mechanisms underlying COVID-19-associated thrombosis.
- To evaluate antithrombotic agents in COVID-19 management and discuss clinical guidelines.
Main Methods:
- Literature review of studies investigating COVID-19 and thromboembolic events.
- Analysis of molecular and cellular pathways implicated in COVID-19 pathogenesis and thrombosis.
- Review of clinical trials and guidelines concerning antithrombotic therapies in COVID-19 patients.
Main Results:
- COVID-19 significantly elevates the risk of both venous and arterial thrombosis.
- Multiple molecular and cellular mechanisms contribute to the prothrombotic state in COVID-19.
- Various antithrombotic agents show potential, with ongoing research and evolving clinical recommendations.
Conclusions:
- COVID-19 presents a substantial thrombotic risk requiring careful management.
- Further research into underlying mechanisms and effective antithrombotic strategies is essential.
- Adherence to updated professional guidelines is critical for preventing and treating thromboembolism in COVID-19.
Abstract:
Coronavirus disease of 2019 (COVID-19) is the respiratory viral infection caused by the coronavirus SARS-CoV2 (Severe Acute Respiratory Syndrome Coronavirus 2). Despite being a respiratory illness, COVID-19 is found to increase the risk of venous and arterial thromboembolic events. Indeed, the link between COVID-19 and thrombosis is attracting attention from the broad scientific community. In this review we will analyze the current available knowledge of the association between COVID-19 and thrombosis. We will highlight mechanisms at both molecular and cellular levels that may explain this association. In addition, the article will review the antithrombotic properties of agents currently utilized or being studied in COVID-19 management. Finally, we will discuss current professional association guidance on prevention and treatment of thromboembolism associated with COVID-19.
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