Thromboprophylaxis Practices Following Varicose Veins Surgery

Nikolopoulos, Evagelos S.; Charalampidis, Dimitrios; Georgakarakos, Efstratios; Georgiadis, George S.; Lazarides, Miltos K.

doi:10.1177/1531003512454581

Cited by 3 publications

(6 citation statements)

References 16 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is a lot of variation in practice with regard to routine thromboprophylaxis. Nikopoulos et al surveyed Greek vascular surgeons in 2012 10 and found that 58% give thromboprophylaxis routinely after endovenous procedures. An older survey from 1995 of the Vascular Surgical Society of Great Britain and Ireland 21 showed that only 12% gave routine prophylaxis after open varicose vein surgery.…”

Section: Thromboprophylaxis -Practice and Factorsmentioning

confidence: 99%

“…A recent survey of vascular surgeons in Greece showed that 52% use routine thromboprophylaxis for open varicose surgery and 58% for endovenous, suggesting a lack of consensus. 10 Given this uncertainty, the aim of this study was to assess thromboprophylaxis practice for varicose vein procedures among vascular surgeons in Ireland.…”

Section: Introductionmentioning

confidence: 99%

“…A recent survey of vascular surgeons in Greece showed that 52% use routine thromboprophylaxis for open varicose surgery and 58% for endovenous, suggesting a lack of consensus. 10…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Thromboprophylaxis for varicose vein procedures – A national survey

et al. 2019

View full text Add to dashboard Cite

Background Venous thromboembolism is rare following varicose vein ablation procedures, but uncertainty about its incidence combined with a lack of evidence-based clinical guidelines regarding thromboprophylaxis has led to debate about best practice. We conducted a national survey to investigate current practice among Irish vascular surgeons. Methods An anonymous online questionnaire was emailed to all members of the Irish Association of Vascular Surgeons and the Northern Ireland Vascular Society. Results Response rate was 60%. With regard to procedure type, 36.7% of respondents use only endovenous techniques and 53% use a combination of open and endovenous. Formal duplex imaging on all patients is obtained by 53.3%. With regard to VTE prevention, 73.3% always give thromboprophylaxis. For those who give it selectively, a variety of factors were considered as risks. Pharmacological agents used are enoxaparin in 73.3% of cases or tinzaparin, and 71.4% use a single dose (either 20/40 mg or 3500/4500 IU respectively). If patients are already taking anticoagulation, this is continued by 46.7% of respondents. Routine post procedure duplex imaging is carried out by 23.1% of recipients, either by the surgeon or formally and 80% review patients clinically. Moreover, 43.3% of respondents claim to know their post-operative VTE rate and this varies from 0 to 1% with one mortality reported. Conclusions The majority of respondents use single-dose thromboprophylaxis periprocedurally for varicose vein ablation procedures. VTE rates are low but the true incidence may be unknown.

show abstract

Section: Thromboprophylaxis -Practice and Factorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Thromboprophylaxis for varicose vein procedures – A national survey

et al. 2019

View full text Add to dashboard Cite

show abstract

“…It should be pointed out that there were no reports of use of other types of heparin or fondaparinux. 9 …”

Section: Discussionmentioning

confidence: 99%

Tromboprofilaxia na cirurgia de varizes dos membros inferiores no Brasil

Ribeiro¹,

Pinto

Erzinger

et al. 2022

J. vasc. bras.

View full text Add to dashboard Cite

Resumo Contexto Apesar de todo o investimento na profilaxia primária do tromboembolismo venoso (TEV) em pacientes cirúrgicos nos últimos anos, ainda não existem diretrizes específicas para aqueles que serão submetidos a procedimentos para tratamento de varizes de membros inferiores. Objetivos Avaliar o perfil de conduta de profilaxia do TEV pelos cirurgiões vasculares brasileiros para procedimentos de tratamento de varizes de membros inferiores. Métodos Pesquisa de levantamento por envio de questionário eletrônico a cirurgiões vasculares brasileiros. Os respondentes foram divididos entre os que realizam tratamento de veias safenas por cirurgia convencional e os que realizam termoablação para fim de comparação entre os grupos. Resultados Entre os 765 respondentes, o tratamento de escolha das veias safenas foi a cirurgia convencional para 405 (53%), espuma ecoguiada para 44 (6%) e termoablação (endolaser ou radiofrequência) para 199 (26%). Os cirurgiões que realizam termoablação prescrevem mais farmacoprofilaxia após o procedimento que aqueles que preferem cirurgia convencional (67/199, 34% vs. 112/405, 28%; p = 0,002). O grupo termoablação estratifica o paciente quanto ao risco de TEV com mais frequência que o grupo cirurgia convencional (102/199, 51% vs. 179/405, 44%; p =0,004). Ambos os grupos usam mais frequentemente enoxaparina como medicação para profilaxia, porém o grupo termoablação usa mais anticoagulantes orais diretos proporcionalmente que o grupo cirurgia convencional (26% vs. 10%, p < 0,001). Conclusões Cirurgiões vasculares brasileiros que fizeram o tratamento de veias safenas por termoablação prescrevem farmacoprofilaxia com maior frequência e por um período mais prolongado do que os que realizaram o tratamento por cirurgia convencional.

show abstract

“…15 There remains widespread disparity on the administration and regimen of thromboprophylaxis following varicose vein surgery. 17 Strategies may include no pharmacological thromboprophylaxis, targeted therapy, or routine single-dose or extended-duration thromboprophylaxis. This variability may reflect clinical uncertainty regarding best practice.…”

Section: Thromboprophylaxis Following Superficial Venous Interventionmentioning

confidence: 99%