Venous thromboembolism after Diaphragm Pacing in amyotrophic lateral sclerosis
| Autor: | Ori Gottlieb, Bobbie Jean Sweitzer, Steven R. White, Raymond P. Roos, Amy S. Guralnick, Vivek N. Prachand, Kourosh Rezania, Wickii T. Vigneswaran |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Physiology business.industry Deep vein Incidence (epidemiology) Perioperative medicine.disease Thrombosis Pulmonary embolism Surgery Cellular and Molecular Neuroscience Diaphragm pacing medicine.anatomical_structure Physiology (medical) Anesthesia medicine cardiovascular diseases Neurology (clinical) Amyotrophic lateral sclerosis business Venous thromboembolism |
| Zdroj: | Muscle & Nerve. 50:863-865 |
| ISSN: | 0148-639X |
| DOI: | 10.1002/mus.24420 |
| Popis: | Introduction: Patients with amyotrophic lateral sclerosis (ALS) are prone to venous thromboembolism (VTE) and secondary complications. Because there is an increased incidence of VTE after surgical procedures, placement of a Diaphragm Pacing System (DPS) in ALS patients as treatment for respiratory muscle weakness could potentially increase the incidence of VTE, especially in patients with limited mobility. Methods: We implanted a DPS in 10 ALS patients who met the criteria for this procedure. They underwent a preoperative evaluation as recommended by the guidelines. Results: We report 2 patients with no symptoms of deep vein thrombosis (DVT) before the surgical procedure who then developed perioperative VTE. Conclusions: These patients highlight the need to consider preoperative screening for DVT and postoperative thromboprophylaxis in high-risk ALS patients who undergo DPS placement. Muscle Nerve 50: 863–865, 2014 |
| Databáze: | OpenAIRE |
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