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Thrombus Distribution in Vaccine-induced immune thrombotic thrombocytopenia after ChAdOx1 nCov-19 Vaccination

Rogers, Priya; Walker, Ieuan; Yeung, Jason; Khan, Abeera; Gangi, Anmol; Mobashwera, Behnaz; Ayto, Robert; ... Von Stempel, Conrad; + view all (2022) Thrombus Distribution in Vaccine-induced immune thrombotic thrombocytopenia after ChAdOx1 nCov-19 Vaccination. Radiology , 305 (3) pp. 590-596. 10.1148/radiol.220365. Green open access

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Abstract

This case series reports 40 patients (median age, 41 years [interquartile range (IQR) 32- 52, 22 men) with confirmed vaccine-induced immune thrombotic thrombocytopaenia after administration of their first ChAdOx1 nCov-19 (AstraZeneca) vaccine: 80% (n=32) developed symptoms within the first 14 days and 20% (n=8) within 14-28 days. The location and extent of thrombi were evaluated using CT, MRI and ultrasound. Of the 40, 73% (n=29) presented with neurological symptoms and had confirmed cerebral venous sinus thrombosis, 30% (n=12) had extension of their primary thrombus, and 20% (n=8) died. 83% of those who underwent additional imaging (25 of 30) had occult thrombosis.

Type: Article
Title: Thrombus Distribution in Vaccine-induced immune thrombotic thrombocytopenia after ChAdOx1 nCov-19 Vaccination
Open access status: An open access version is available from UCL Discovery
DOI: 10.1148/radiol.220365
Publisher version: https://doi.org/10.1148/radiol.220365
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10150079
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