| Autor: |
Hakyoung Kim, Youngjin Han, Gi-Young Ko, Min-Jae Jeong, Kyunghak Choi, Yong-Pil Cho, Tae-Won Kwon |
| Jazyk: |
English<br />Korean |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Vascular Specialist International, Vol 34, Iss 4, Pp 103-108 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
2288-7970 |
| DOI: |
10.5758/vsi.2018.34.4.103 |
| Popis: |
Purpose: Surgery is the most common risk factor for pulmonary embolism (PE) in patients with a recent venous thromboembolism (VTE). This study reviewed clinical outcomes of preoperative inferior vena cava filter (IVCF) use in patients with acute VTE during abdominal-pelvic cancer or lower extremity orthopedic surgeries. Materials and Methods: We retrospectively analyzed 122 patients with a recent VTE who underwent IVCF replacement prior to abdominal-pelvic cancer or lower extremity orthopedic surgery conducted between January 2010 and December 2016. Demographics, clinical characteristics, postoperative IVCF status, risk factors for a captured thrombus, and clinical outcomes were collected for these subjects. Results: Among the 122 study patients who were diagnosed with acute VTE in the prior 3 months and underwent preoperative IVCF replacement, 70 patients (57.4%) received abdominal-pelvic cancer surgery and 52 (42.6%) underwent lower extremity orthopedic surgery. There were no perioperative complications associated with IVCF in the study population and no cases of symptomatic PE postoperatively. A captured thrombus in the filter was identified postoperatively in 16 patients (13.1%). Logistic regression analysis indicated that postoperative anticoagulation within 48 hours significantly reduced the risk of a captured thrombus (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.08–0.94; P=0.032). Conclusion: A captured thrombus in preoperative IVCF was identified postoperatively in 16 patients (13.1%). Postoperative anticoagulation within 48 hours reduces the risk of captured thrombus in these cases. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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