Proximal Deep Venous Thrombosis and Pulmonary Embolus Following Total Joint Arthroplasty

Parvizi J., Parmar R., Raphael I. J., Restrepo C., Rothman R. H.

JOURNAL OF ARTHROPLASTY, cilt.29, sa.9, ss.1846-1848, 2014 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 9
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1016/j.arth.2014.04.023
  • Dergi Adı: JOURNAL OF ARTHROPLASTY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1846-1848
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

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. (C) 2014 Elsevier Inc. All rights reserved.