Thrombo-embolic prophylaxis in total knee replacement. Evaluation of the A-V Impulse System.

Autor: Wilson NV; Department of Orthopaedic Surgery, King's College Hospital, London, England., Das SK, Kakkar VV, Maurice HD, Smibert JG, Thomas EM, Nixon JE
Jazyk: angličtina
Zdroj: The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 1992 Jan; Vol. 74 (1), pp. 50-2.
DOI: 10.1302/0301-620X.74B1.1732265
Abstrakt: We performed a prospective randomised controlled trial of a new mechanical method of prophylaxis for venous thrombo-embolism in 60 patients undergoing knee replacement surgery. The method uses the A-V Impulse System to produce cyclical compression of the venous reservoir of the foot. The overall incidence of deep-vein thrombosis was 68.7% in patients receiving no prophylaxis and 50% in those using the device. The difference was not significant. There was, however, a reduction of the extent of thrombosis in the treated group. There were 13 major calf-vein thrombi and six proximal-vein thrombi in the control group compared with only five major calf-vein thrombi in the treated group. This difference was significant (p = 0.014). No patient developed clinical features of a pulmonary embolism.
Databáze: MEDLINE