Electric Muscle Stimulation for Prevention of Venous Thromboembolism in Patients with Multiple Lower Extremity Trauma

Nikolaev, K. N.; Ивченко, Д.Р.; Акимов, А. В.; Голубов, Е. А.; Дворцевой, С. Н.; Чевычелов, С. В.; Алборов, Ю. Р.; Кукушкина, Е. А.; Смольянинов, В. Н.

doi:10.21823/2311-2905-2020-26-1-127-137

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…In addition to the common factors that contribute to the formation of DVT such as venous stasis, vascular endothelial injury, and blood hypercoagulability, the hypothesis of “the fourth thrombotic factor” has also been suggested in recent years [ 30 ]. This hypothesis suggests that there are innervating nerves around the vein, which can induce periodic changes in the diameter of blood vessels or have a direct antithrombotic effect through neurohumoral action.…”

Section: Discussionmentioning

confidence: 99%

Role of Neuromuscular Electrical Stimulation in Increasing Femoral Venous Blood Flow After Total Hip Prosthesis

Çalbıyık¹,

Yılmaz²

2022

Cureus

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Objective: This study aimed to investigate the role of neuromuscular electrical stimulation (NMES) in increasing femoral venous blood flow after total hip prosthesis and to evaluate its potential effects on preventing postoperative deep vein thrombosis (DVT).Materials and methods: A total of 64 patients who underwent total hip prosthesis were randomly separated into two groups. The NMES group (n=32) received low-molecular-weight heparin+NMES. And the non-NMES group (n=32) received a low-molecular-weight heparin+compression bandage.Results: There was no difference between the groups in terms of the presence of preoperative and postoperative leg edema. The calf diameter was significantly lower in the NMES group than in the non-NMES group in both the preoperative (p=0.003) and postoperative (p=0.008) period. Although the femoral vein peak velocity (VPV) was similar between the groups in the preoperative period, it was significantly higher in the NMES group than in the non-NMES group postoperatively (p=0.001). The femoral VPV after total hip prosthesis increased more in the NMES group (43.2%) compared with the non-NMES group (16.3%). In the non-NMES group, the D-dimer value in the preoperative period was lower than on postoperative days one and five (p<0.05). There was no significant difference between the D-dimer values on postoperative days one and five. In the NMES group, a statistically significant difference was determined between the preoperative and postoperative test results (F(2.93)=20.86, p=0.001). The preoperative D-dimer values were compared to the postoperative values on the first and fifth day, and according to the post hoc test results, the D-dimer values were significantly lower on the fifth postoperative day than on the first postoperative day, and the preoperative value was significantly lower than the fifth postoperative day value (p<0.05).Conclusion: Although the two groups were similar in terms of leg edema, there was a significant increase in femoral VPV in the NMES group. This could indicate a potential effect of NMES in preventing postoperative DVT and needs to be confirmed with further studies.

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Section: Discussionmentioning

confidence: 99%