# COVID-19: a vascular nightmare unfolding

**Authors:** Qinan Yin, Youjin Huang, Hulin Wang, Yin Wang, Xuefei Huang, Yujie Song, Yueyuan Wang, Lizhu Han, Bian Yuan

PMC · DOI: 10.3389/fimmu.2025.1593885 · 2025-08-01

## TL;DR

This paper reviews how immune inflammation contributes to blood clots in COVID-19 and updates on drug trials and guidelines for prevention.

## Contribution

The paper offers a comprehensive review of thrombosis mechanisms and pharmacological prevention strategies in COVID-19.

## Key findings

- Immune inflammation is a key driver of thrombosis in COVID-19 patients.
- Pharmacological interventions are being tested to prevent thrombosis in these patients.
- Guidelines for thrombosis prevention are evolving with new research findings.

## Abstract

The emergence of COVID-19 has been associated with an increased risk of arteriovenous thrombosis, with immune inflammation playing a significant role in the pathogenesis of thrombosis. Numerous drug-related clinical trials have been undertaken to prevent thrombosis, and guidelines for its prevention and treatment are continuously evolving as our understanding of the disease progresses. This article provides a comprehensive review of the mechanisms underlying thrombosis in COVID-19 patients, as well as the advancements in clinical trials and guidelines for thrombosis prevention with pharmacological interventions.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382), inflammation (MESH:D007249), arteriovenous thrombosis (MESH:D013927)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12354592/full.md

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Source: https://tomesphere.com/paper/PMC12354592