PMID- 38380196 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240222 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 16 IP - 1 DP - 2024 Jan TI - Nafamostat Mesylate for the Hypercoagulable State of SARS-CoV-2 With Renal Replacement Therapy: A Case Report. PG - e52641 LID - 10.7759/cureus.52641 [doi] LID - e52641 AB - Being a dialysis patient is one of the risks for severe coronavirus disease 2019 (COVID-19) cases. In addition, there have been many reports of coagulation abnormalities in severe COVID-19 cases; these also make dialysis management more difficult. In this study, we report a case of severe COVID-19 in a hemodialysis patient who had coagulation in the dialysis circuit with unfractionated heparin (UFH), which could be managed without intracircuit obstruction when nafamostat mesylate (NM) was used in combination with unfractionated heparin. CI - Copyright (c) 2024, Nakada et al. FAU - Nakada, Koki AU - Nakada K AD - Emergency Department, Kyoto Prefectural University of Medicine, Kyoto, JPN. FAU - Hirai, Daisuke AU - Hirai D AD - Nephrology Department, National Hospital Organization Kyoto Medical Center, Kyoto, JPN. FAU - Seta, Koichi AU - Seta K AD - Nephrology Department, National Hospital Organization Kyoto Medical Center, Kyoto, JPN. FAU - Nishiyama, Kei AU - Nishiyama K AD - Emergency and Critical Care Division, Niigata University, Niigata, JPN. LA - eng PT - Case Reports DEP - 20240120 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10877068 OTO - NOTNLM OT - continuous renal replacement therapy (crrt) OT - covid-19 OT - critical emergency medicine OT - heparin OT - hypercoagulation OT - intensive care unit OT - nafamostat OT - non-fractioned heparin OT - renal replacement therapy (rrt) OT - thrombosis COIS- The authors have declared that no competing interests exist. EDAT- 2024/02/21 11:15 MHDA- 2024/02/21 11:16 PMCR- 2024/01/20 CRDT- 2024/02/21 04:07 PHST- 2024/01/17 00:00 [accepted] PHST- 2024/02/21 11:16 [medline] PHST- 2024/02/21 11:15 [pubmed] PHST- 2024/02/21 04:07 [entrez] PHST- 2024/01/20 00:00 [pmc-release] AID - 10.7759/cureus.52641 [doi] PST - epublish SO - Cureus. 2024 Jan 20;16(1):e52641. doi: 10.7759/cureus.52641. eCollection 2024 Jan.