Incidence of deep vein thrombosis in patients undergoing breast reconstruction with autologous tissue transfer
| Autor: | Takashi Yamaki, Masakazu Ochi, Hisato Konoeda, Atsuyoshi Osada, Atsumori Hamahata, Yuki Hasegawa, Hiroyuki Sakurai, Miho Kirita |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty Deep vein Free flap 030230 surgery 03 medical and health sciences Postoperative Complications 0302 clinical medicine Breast cancer medicine Humans Prospective Studies Venous Thrombosis business.industry Incidence General Medicine Pedicled Flap Middle Aged medicine.disease Thrombosis Pulmonary embolism Surgery Venous thrombosis medicine.anatomical_structure 030220 oncology & carcinogenesis Female Radiology Cardiology and Cardiovascular Medicine Breast reconstruction business |
| Zdroj: | Phlebology: The Journal of Venous Disease. 32:282-288 |
| ISSN: | 1758-1125 0268-3555 |
| DOI: | 10.1177/0268355516680427 |
| Popis: | Background Breast reconstruction is associated with multiple risk factors for venous thromboembolism. However, the incidence of deep vein thrombosis in patients undergoing breast reconstruction is uncertain. Objective The aim of this study was to prospectively evaluate the incidence of deep vein thrombosis in patients undergoing breast reconstruction using autologous tissue transfer and to identify potential risk factors for deep vein thrombosis. Methods Thirty-five patients undergoing breast reconstruction were enrolled. We measured patients’ preoperative characteristics including age, body mass index (kg/m2), and risk factors for deep vein thrombosis. The preoperative diameter of each venous segment in the deep veins was measured using duplex ultrasound. All patients received intermittent pneumatic pump and elastic compression stockings for postoperative thromboprophylaxis. Results Among the 35 patients evaluated, 11 (31.4%) were found to have deep vein thrombosis postoperatively, and one patient was found to have pulmonary embolism postoperatively. All instances of deep vein thrombosis developed in the calf and were asymptomatic. Ten of 11 patients underwent free flap transfer, and the remaining one patient received a latissimus dorsi pedicled flap. Deep vein thrombosis incidence did not significantly differ between patients with a free flap or pedicled flap (P = 0.13). Documented risk factors for deep vein thrombosis demonstrated no significant differences between patients with and without deep vein thrombosis. The diameter of the common femoral vein was significantly larger in patients who developed postoperative deep vein thrombosis than in those who did not ( P Conclusions The morbidity of deep vein thrombosis in patients who underwent breast reconstruction using autologous tissue transfer was relatively high. Since only the diameter of the common femoral vein was predictive of developing postoperative deep vein thrombosis, postoperative pharmacological thromboprophylaxis should be considered for all patients undergoing breast reconstruction regardless of operative procedure. |
| Databáze: | OpenAIRE |
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