The risk factor of preoperative deep vein thrombosis in patients undergoing total knee arthroplasty

Wakabayashi, Hiroki; Hasegawa, Masahiro; Niimi, Rui; Yamaguchi, Toshio; Naito, Yohei; Sudo, Akihiro

doi:10.1016/j.jos.2017.04.007

Cited by 23 publications

(20 citation statements)

References 26 publications

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“…Preoperative prevalence and postoperative incidence of major DVT were reported as 2.5%. [12] In the study of Wakabayashi et al [21] including 322 TKA patients, 56 patients (17.4%) had DVT in their preoperative DUS. They reported that the risk of DVT increases significantly in patients with rheumatoid arthritis (RA) and connective tissue diseases.…”

Section: Discussionmentioning

confidence: 99%

“…They reported that the risk of DVT increases significantly in patients with rheumatoid arthritis (RA) and connective tissue diseases. [21] In our study group, patients with various risks and symptoms such as RA connective tissue disease, previous surgery and previously known vascular disease were excluded from the study, and probably due to the relatively small number of patients in our study, none of our patients had preoperative DVT. Other causes which increase the risk of VTE after TKA were reported as female sex, age (≥80 years), hypertension, existing malignancy, obesity (body mass index ≥30 kg/m 2 ), and black race.…”

Section: Discussionmentioning

confidence: 99%

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The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty

Atilla¹

2019

Turk J Vasc Surg

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Objectives: This study aims to investigate the prevalence of venous and arterial diseases in asymptomatic patients undergoing total knee arthroplasty (TKA) and to evaluate possible surgery-related vascular complications. Patients and methods: The data of a total of 96 extremities of 48 vascular asymptomatic patients (9 males, 39 females; mean age 65.7±51.8 years; range, 50 to 85 years) who underwent arterial and venous bilateral Doppler ultrasound examination between October 2017 and February 2018 were retrospectively analyzed. Stenosis of the arterial and venous system thrombosis and venous insufficiency were recorded. Results: Although no significant vascular pathologies such as deep vein thrombosis or arterial occlusion were detected, minor vascular pathologies such as minimal atherosclerosis (29.2%) and venous reflux (25%) were found in patients scheduled for TKA. Conclusion: In most patients, TKA operations can be performed without a vascular comorbidity; however, even asymptomatic patients may carry vascular risks. These silent patients can be identified by simple non-invasive tests. Patients under risk are supposed to be consulted with vascular surgery before the operation and can be operated in the hospital setting where a vascular surgery unit is available. Recognizing the silent group with color Doppler ultrasound can be helpful and feasible in patients undergoing TKA to reduce complication rate and to take precautions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty

Atilla¹

2019

Turk J Vasc Surg

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“…The ultrasound characteristics of DVT have been reported in the past 18 . A study described acute clots as rm or slightly deformed by compression, hypoechoic or isoechoic in echogenicity, present in a vein with an enlarged diameter, and attached to the vein wall 25 . However, in many cases, the ndings overlap, making assessment of fresh thrombus di cult.…”

Section: Discussionmentioning

confidence: 99%

No Difference In The Incidence Or Location of Deep Venous Thrombosis According To Use of Pharmacological Prophylaxis Following Total Knee Arthroplasty

Itou

Kuwashima

Itoh

et al. 2021

Preprint

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Purpose: The incidence and characteristics of deep vein thrombosis (DVT) following total knee arthroplasty (TKA) without pharmacologic prophylaxis have not been fully investigated. This study aimed to determine whether there are any differences in the incidence, location, and characteristics of DVT following TKA with pharmacologic prophylaxis and without pharmacologic prophylaxis.Methods: In total, 216 consecutive knees that underwent primary TKA were retrospectively evaluated. Enoxaparin was used postoperatively for pharmacologic prophylaxis. We excluded 60 knees because of use of antiplatelet agents or anticoagulants before surgery, history of venous thromboembolism, or bleeding risk. The remaining 156 knees were included in the analysis and divided into two groups: with pharmacologic prophylaxis (n = 79) and without pharmacologic prophylaxis (n = 77).Results: The overall incidence of DVT was 34% (54/156 knees). DVT was detected in 31.6% of knees in the group with pharmacologic prophylaxis and in 37.6% of knees in the group without pharmacologic prophylaxis; the difference was not statistically significant. Soleal vein thrombus was observed in 74.6% of the knees with DVT and non-floating thrombus was observed in 98.7%.Conclusion: No differences were found in the incidence, location, or characteristics of DVT following TKA with or without pharmacological prophylaxis.

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“…Six of 108 patients (5.6%) were detected with newly formed DVTs 3 months after discharge in the present study. Several studies suggested that VTEs might occur in people without surgery (21,22). In 2017, a study evaluated 322 patients admitted for TKA and found that 56 patients (17.4%) were diagnosed with preoperative DVT (21).…”

Section: Discussionmentioning

confidence: 99%

Is Routine Chemical Thromboprophylaxis Necessary in Patients Undergoing Unicompartmental Knee Arthroplasty?

Yao

Yan

et al. 2020

Preprint

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Background This study aimed to determine the prevalence ofvenous thromboembolism (VTE) in patients undergoing unicompartmental knee arthroplasty (UKA) 3 days and 3 months postoperatively and figure out whether routine chemical thromboprophylaxis was necessary.Methods The medical records of 146 patients who underwent unilateral UKA at our institution were reviewed. The length of hospital stays after the surgery of the patients was 5.6 ± 2.7 days (3–23 days). All patients underwent pneumatic leg compression, rehabilitation exercises, pain management, and chemical deep vein thrombosis (DVT) prophylaxis from the day of surgery to 3 days after the surgery. From the fourth day to discharge, chemical prophylaxis was stopped. After discharge, only rehabilitation exercises were encouraged. All patients underwent bilateral venography or ultrasound preoperatively and 3 days postoperatively to detect DVT. They completed the follow-up review 3 months after the surgery; 108 patients had ultrasound tests again.Results DVT was detected in 9 (6.2%) of the 146 patients 3 days after the surgery and in 8 (7.4%) of the 108 patients 3 months after the surgery. No symptomatic or proximal DVT was observed. No patient exhibited pulmonary embolism–related symptoms. After discharge, six DVTs (66.7%) dissolved, and 6 (5.6%) were newly formed. No significant difference in demographics and surgery-related factors was detected between DVT and no-DVT groups at both time points.Conclusions Routine chemical thromboprophylaxis in patients undergoing UKA with pain management and rehabilitation exercises may not be necessary.

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The risk factor of preoperative deep vein thrombosis in patients undergoing total knee arthroplasty

Cited by 23 publications

References 26 publications

The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty

The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty

No Difference In The Incidence Or Location of Deep Venous Thrombosis According To Use of Pharmacological Prophylaxis Following Total Knee Arthroplasty

Is Routine Chemical Thromboprophylaxis Necessary in Patients Undergoing Unicompartmental Knee Arthroplasty?

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