Pulmonary Embolism Following Craniotomy for Meningioma
| Autor: | Platt Razis, Catherine Brosnan |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Inferior vena caval
medicine.medical_specialty business.industry medicine.medical_treatment Heparin medicine.disease Thromboembolic prophylaxis Pulmonary embolism Meningioma Anesthesiology and Pain Medicine Anesthesia medicine Surgery In patient Neurology (clinical) Neurosurgery business Craniotomy medicine.drug |
| Zdroj: | Journal of Neurosurgical Anesthesiology. 11:119-123 |
| ISSN: | 0898-4921 |
| DOI: | 10.1097/00008506-199904000-00008 |
| Popis: | We present two case reports of patients who suffered a pulmonary embolism (PE) in the week following surgery for removal of a meningioma. Both patients were anticoagulated in the first week following surgery, and as a result, both suffered intracerebral bleeds requiring further surgery. An inferior vena caval (IVC) filter was then used in both patients to prevent further embolic events. Following our experience, we believe that it is dangerous to use intravenous anticoagulation within 6 days of cranial surgery for removal of a meningioma. We have reviewed the literature concerning the present guidelines for thromboembolic prophylaxis in patients requiring neurosurgery and believe that consideration of subcutaneous low-molecular-weight heparin should now be given to all patients requiring craniotomy for removal of a meningioma. |
| Databáze: | OpenAIRE |
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