Doppler Ultrasonography-Aided Early Diagnosis of Venous Thromboembolism after Total Knee Arthroplasty

Kume, Hiroko; Inoue, Yasuhiro; Mitsuoka, Akito; Sugano, Norihide; Morito, Toshiyuki; Muneta, Takeshi

doi:10.1016/j.ejvs.2010.08.002

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…Asymptomatic DVT often develops after THA or TKA that have been shown to be a high risk for the development of DVT [3,5], even with the use of currently recommended mechanical and pharmacological prophylaxis. The incidences of DVT after THA (22%) and TKA (63%) in the present study are comparable with the results of recent studies showing incidences of 20-34% in patients who underwent THA [5,6] and incidences of 48-61% in patients who underwent TKA [5][6][7]. Collectively, the findings indicate that more accurate risk stratification and improved prophylaxis are necessary for prevention of DVT in patients undergoing major orthopedic surgery.…”

Section: Discussionsupporting

confidence: 88%

“…Venous thromboembolism (VTE), including pulmonary embolism (PE) and both symptomatic and asymptomatic deep vein thrombosis (DVT), develops after total hip arthroplasty (THA) or total knee arthroplasty (TKA), despite the use of current recommended prophylaxis [1][2][3][4][5][6][7]. Thus, accurate risk stratification is needed to improve prophylactic strategies after major orthopedic surgery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Soleal vein dilatation assessed by ultrasonography is an independent predictor for deep vein thrombosis after major orthopedic surgery

Abe

Yuda

Yasui

et al. 2017

Journal of Cardiology

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Soleal vein dilatation assessed by ultrasonography is an independent predictor for deep vein thrombosis after major orthopedic surgery

Abe

Yuda

Yasui

et al. 2017

Journal of Cardiology

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“…Regular Doppler screening during postoperative period is not recommended. But, prophylaxis is advocated as it is recognized that asymptomatic DVT can produce a fatal PE [6] (Figure 2). Methods of DVT Prophylaxis after Total Knee Arthroplasty http://dx.doi.org/10.5772/intechopen.73645…”

Section: Dvt Prophylaxis Guidelinesmentioning

confidence: 99%

Methods of DVT Prophylaxis after Total Knee Arthroplasty

George¹

2018

Primary Total Knee Arthroplasty

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Postoperative deep-vein thrombosis (DVT), venous thromboembolism (VTE), and pulmonary embolism are few of the most serious complications following total joint arthroplasty. Identification of risk factors and initiation of prophylactic measures are the most important measures to prevent the occurrence of DVT. Several protocols and guidelines are published for DVT prophylaxis in TKA, leaving the surgeon still perplexed. Pharmacological and mechanical prophylaxis methods are used to reduce the risk of postoperative symptomatic deep-vein thrombosis and pulmonary embolism. The use of pharmacological methods is based on a fine balance between their efficacy and the adverse effects associated with them. Each of these agents has their own advantages and disadvantages. Several newer agents are getting approved by FDA for the same. Hence, the choice should be carefully made based on the patient characteristics and risk stratification, and the onset of side effects has to be carefully monitored.

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“…It has also been reported that combination of this technique with CT venography provides higher sensitivity in detection PE [30]. In addition, it has been shown that transcranial Doppler ultrasonography technique which is based on detection DVT and high-intensity transient signals may screen patients for PE after orthopaedic surgery [31]. …”

Section: Diagnosis Of Vtementioning

confidence: 99%

Venous Thromboembolism: Classification, Risk Factors, Diagnosis, and Management

Moheimani

Jackson

2011

ISRN Hematology

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Venous thromboembolism (VTE) is categorised as deep venous thrombosis (DVT) and pulmonary embolism (PE). VTE is associated with high morbidity and causes a huge financial burden on patients, hospitals, and governments. Both acquired and hereditary risks factors contribute to VTE. To diagnose VTE, noninvasive cost-effective diagnostic algorithms including clinical probability assessment and D-dimer measurement may be employed followup by compression ultrasonography for suspected DVT patients and multidetector computed tomography angiography for suspected PE patients. There are pharmacological and mechanical interventions to manage and prevent VTE. The pharmacological approaches mainly target pathways in coagulation cascade nonspecifically: conventional anticoagulants or specifically: new generation of anticoagulants. Excess bleeding is one of the major risk factors for pharmacological interventions. Hence, nonpharmacological or mechanical approaches such as inferior vena cava filters, graduated compression stockings, and intermittent pneumatic compression devices in combination with pharmacological interventions or alone may be a good approach to manage VTE.

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Doppler Ultrasonography-Aided Early Diagnosis of Venous Thromboembolism after Total Knee Arthroplasty

Abstract: Application of a scoring system based on the detection of both DVT and HITS may be an effective and efficient method of screening for PE after knee arthroplasty.

Cited by 7 publications

References 32 publications

Soleal vein dilatation assessed by ultrasonography is an independent predictor for deep vein thrombosis after major orthopedic surgery

Soleal vein dilatation assessed by ultrasonography is an independent predictor for deep vein thrombosis after major orthopedic surgery

Methods of DVT Prophylaxis after Total Knee Arthroplasty

Venous Thromboembolism: Classification, Risk Factors, Diagnosis, and Management

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