Postoperative recurrence of venous thromboembolism in patients with episodes of preoperative thromboembolism

Masayuki Kuroiwa, Masayasu Arai, Eri Nakahara, Sumio Hoka

Research output: Contribution to journalArticle

Abstract

Background: Venous thromboembolism (VTE) has become a major health problem in Japan. Methods: We examined, postoperative recurrence of VTE in patients with preoperative venous thromboembolic events and evaluated factors that are relevant to the occurrence of postoperative VTE. Results: Forty-four cases out of 38500 had been diagnosed preoperatively as having VTE in the period of 1995-2001 at Kitasato University Hospital. Postoperative VTE was detected in four patients (9%) out of these 44 cases. Patients who had thrombophilia (antiphosholipid syndrome) or recent episode of VTE within 1 month were higher in the incidence of postoperative recurrence of VTE than the others. Temporary infra-vena cava filters were placed to prevent pulmonary thromboembolism in twelve patients. In 8 of the patients, thrombi were detected in or at the filter before explantation. Three patients (7%) had undergone thrombolysis therapy. Postoperative VTE was not found in patients who had already received anticoagulant therapy (warfarin) for 3 or more months. Conclusions: It is concluded that newly developed VTE occurred perioperatively in 9% of patients with preoperative VTE, and that thrombophilia and a recent episode of VTE were considered as risk factors of perioperative VTE. Temporary infra-vena cava filters are a valuable device for prevention of postoperative pulmonary thromboembolism.

Original languageEnglish
Pages (from-to)744-749
Number of pages6
JournalJapanese Journal of Anesthesiology
Volume52
Issue number7
Publication statusPublished - Jul 1 2003
Externally publishedYes

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Thromboembolism
Venous Thromboembolism
Recurrence
Vena Cava Filters
Thrombophilia
Pulmonary Embolism
Warfarin
Anticoagulants
Japan
Thrombosis

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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Postoperative recurrence of venous thromboembolism in patients with episodes of preoperative thromboembolism. / Kuroiwa, Masayuki; Arai, Masayasu; Nakahara, Eri; Hoka, Sumio.

In: Japanese Journal of Anesthesiology, Vol. 52, No. 7, 01.07.2003, p. 744-749.

Research output: Contribution to journalArticle

Kuroiwa, Masayuki ; Arai, Masayasu ; Nakahara, Eri ; Hoka, Sumio. / Postoperative recurrence of venous thromboembolism in patients with episodes of preoperative thromboembolism. In: Japanese Journal of Anesthesiology. 2003 ; Vol. 52, No. 7. pp. 744-749.
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