Investigation of oedema of the lower limb following successful femoropopliteal by-pass surgery: The role of phlebography in demonstrating venous thrombosis

Hamer, J. D.

doi:10.1002/bjs.1800591212

Cited by 40 publications

(19 citation statements)

References 11 publications

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“…9 The incidence of asymptomatic VT varies widely, ranging from 2% to 41%, and depends firstly on the diagnostic method used and secondly on the presence or not of prophylaxis. 10 In five prospective studies of vascular surgery patients not receiving thromboprophylaxis, the pooled rate of postoperative DVT was 21% (18 out of 86 patients) using contrast venography [11][12][13] and 15% (15 out of 98 patients) using Doppler ultrasonography scan. 14,15 Asymptomatic DVT after aorto iliac or aorto femoral surgery would be similar to that reported in other abdominal and pelvic procedures.…”

Section: Discussionmentioning

confidence: 99%

High incidence of venous thrombosis after surgery for abdominal aortic aneurysm

Maistre

Terriat

Lesne-Padieu

et al. 2009

Journal of Vascular Surgery

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Despite systematic prevention with heparin, surgery for AAA repair induces a high incidence of postoperative VT. This series mandates for vigilance about VT, with particular attention to the patients who received transfusion with fresh frozen plasma. Even though this series is one of the largest ever published on this topic, the rarity of the events calls for confirmation with a larger prospective study.

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Section: Discussionmentioning

confidence: 99%

High incidence of venous thrombosis after surgery for abdominal aortic aneurysm

Maistre

Terriat

Lesne-Padieu

et al. 2009

Journal of Vascular Surgery

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“…1 The rates of DVT after aortoiliac or aortofemoral surgery are similar to those seen in other types of abdominal and pelvic procedures. 22 In the absence of prophylaxis, the rate of DVT is Ϸ21% when routine contrast venography is obtained [23][24][25] and 15% when routine postoperative ultrasonography is performed. 22,26 Patients undergoing major vascular procedures who have additional thromboembolic risk factors should receive antithrombotic prophylaxis with LDUH or LMWH.…”

Section: Vascular Surgerymentioning

confidence: 99%

Prevention of Venous Thromboembolism in Surgical Patients

2004

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Abstract-Venous thromboembolism (VTE) is a common complication of surgical procedures. The risk for VTE in surgical patients is determined by the combination of individual predisposing factors and the specific type of surgery. Prophylaxis with mechanical and pharmacological methods has been shown to be effective and safe in most types of surgery and should be routinely implemented. For patients undergoing general, gynecologic, vascular, and major urologic surgery, low-dose unfractionated heparin or low-molecular-weight heparin (LMWH) are the options of choice. For low-risk urologic surgery, early postoperative mobilization of patients is the only intervention warranted. For higher-risk patients, including those undergoing elective hip or knee replacement and surgery for hip fracture, vitamin K antagonists, LMWH, or fondaparinux are recommended. For patients undergoing neurosurgery, graduated elastic stockings are effective and safe and may be combined with LMWH to further reduce the risk of VTE. The role of prophylaxis is less defined in patients undergoing elective spine surgery, as well as laparoscopic and arthroscopic surgery. A number of issues related to prophylaxis of VTE after surgery deserve further clarification, including the role of screening for asymptomatic deep vein thrombosis, the best timing for initiation of pharmacological prophylaxis, and the optimal duration of prophylaxis in high-risk patients. Key Words: venous thromboembolism Ⅲ deep vein thrombosis Ⅲ pulmonary embolism Ⅲ heparin Ⅲ low-molecular-weight heparin Ⅲ vitamin K antagonists

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“…Die Unterschenkel wurden auf Höhe des rechten Vorhofs in einer Vakuummatratze gelagert. Mögliche Ursachen dafür sind Beinvenenthrombosen [15], Beeinträchtigung des Lymphabflusses der betroffenen Extremitäten durch Zerstörung der ableitenden Lymphgefäße [11,30] und Veränderungen in der Mikrozirkulation der ischämischen Extremitäten [6,20] sowie ein Reperfusionsschaden durch Freisetzung von Mediatoren und Sauerstoffradikalen [16,22,35,40,42]. Das so entstandene Signal wurde mit einer im Computer gespeicherten Kalibrationskurve verrechnet [13].…”

Section: Allgemeines Untersuchungsprotokollunclassified

Perioperative Veränderungen der Flüssigkeitsfiltrationskapazität bei gefäßchirurgischen Patienten

et al. 1999

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The data presented suggests an increase in extravascular fluid loss in patients undergoing vascular surgery, which becomes evident after the induction of general anaesthesia or completion of epidural anaesthesia. The positive correlation with the intraoperative fluid requirements may partially explain the often reported large intraoperative fluid requirements of patients undergoing AAA repair. The fact that the maximum change in fluid filtration capacity is found postoperatively may be explained by the additional effect of an ischemia/reperfusion injury in response to both the clamping an declamping of the artery and the increase in arterial blood flow to the limb due to the successful reconstruction of the blood vessel.

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Investigation of oedema of the lower limb following successful femoropopliteal by-pass surgery: The role of phlebography in demonstrating venous thrombosis

Cited by 40 publications

References 11 publications

High incidence of venous thrombosis after surgery for abdominal aortic aneurysm

High incidence of venous thrombosis after surgery for abdominal aortic aneurysm

Prevention of Venous Thromboembolism in Surgical Patients

Perioperative Veränderungen der Flüssigkeitsfiltrationskapazität bei gefäßchirurgischen Patienten

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