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

Masayuki Kuroiwa, Masayasu Arai, Eri Nakahara, Sumio Hoka

研究成果: Contribution to journalArticle査読

抄録

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.

本文言語英語
ページ(範囲)744-749
ページ数6
ジャーナルJapanese Journal of Anesthesiology
52
7
出版ステータス出版済み - 7 1 2003
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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