Proximal deep venous thrombosis and pulmonary embolus following total joint arthroplasty
| Autor: | Ibrahim J. Raphael, Raviinder Parmar, Richard H. Rothman, Javad Parvizi, Camilo Restrepo |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Joint arthroplasty Databases Factual Popliteal fossa medicine Humans Orthopedics and Sports Medicine In patient cardiovascular diseases Arthroplasty Replacement Knee Aged Retrospective Studies Aged 80 and over Venous Thrombosis End point business.industry Anticoagulants Middle Aged Tourniquets medicine.disease Pulmonary embolism Surgery PULMONARY EMBOLUS Venous thrombosis medicine.anatomical_structure Cross-Sectional Studies Orthopedic surgery Female business Pulmonary Embolism |
| Zdroj: | The Journal of arthroplasty. 29(9) |
| ISSN: | 1532-8406 |
| Popis: | It has been proposed that prevention of deep venous thrombosis (DVT) will lead to a reduction in pulmonary embolism (PE). This retrospective comparative study examines the association between symptomatic proximal DVT (occurring at or proximal to the popliteal fossa) and PE in total joint arthroplasty (TJA) patients. We evaluated 1031 patients with DVT symptoms and 428 with PE symptoms. A total of 227 patients were evaluated for both. No statistically significant association found between developing PE and DVT within 90 days after TJA (P=0.94). Our findings raise into question the mechanical propagation theory. Formation of DVT and PE may be independent events in patients undergoing TJA. Evaluating the efficacy of thromboprophylaxis using DVT as end point may not reflect its efficacy for prevention of PE. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect