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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 103 - 108 (6page)
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Purpose: Surgery is the most common risk factor for pulmonary embolism (PE) in patients with a recent venous thromboembolism (VTE). This study reviewed clinical outcomes of preoperative inferior vena cava filter (IVCF) use in patients with acute VTE during abdominal-pelvic cancer or lower extremity orthopedic surgeries. Materials and Methods: We retrospectively analyzed 122 patients with a recent VTE who underwent IVCF replacement prior to abdominal-pelvic cancer or lower extremity orthopedic surgery conducted between January 2010 and December 2016. Demographics, clinical characteristics, postoperative IVCF status, risk factors for a captured thrombus, and clinical outcomes were collected for these subjects. Results: Among the 122 study patients who were diagnosed with acute VTE in the prior 3 months and underwent preoperative IVCF replacement, 70 patients (57.4%) received abdominal-pelvic cancer surgery and 52 (42.6%) underwent lower extremity orthopedic surgery. There were no perioperative complications associated with IVCF in the study population and no cases of symptomatic PE postoperatively. A captured thrombus in the filter was identified postoperatively in 16 patients (13.1%). Logistic regression analysis indicated that postoperative anticoagulation within 48 hours significantly reduced the risk of a captured thrombus (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.08-0.94; P=0.032). Conclusion: A captured thrombus in preoperative IVCF was identified postoperatively in 16 patients (13.1%). Postoperative anticoagulation within 48 hours reduces the risk of captured thrombus in these cases.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Pannucci CJ / 2014 / A validated risk model to predict 90-day VTE events in postsurgical patients / Chest 145:567~573
Kearon C / 2016 / Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report / Chest 149:315~352
Wilhelm BJ / 2015 / The efficacy of prophylactic IVC filters in gastric bypass surgery / Surg Endosc 29:882~889
Ishihara K / 2009 / Clinical outcome of perioperative nonpermanent vena cava filter placement in patients with deep venous thrombosis or blood stasis of the vein / Surg Today 39:764~769
Deguchi J / 2010 / Do inferior vena cava filters reduce the risk of acute pulmonary embolism in preoperative patients with venous thromboembolism? / Surg Today 40:533~537
Kearon C / 2016 / Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report / Chest 149:315~352
Wilhelm BJ / 2015 / The efficacy of prophylactic IVC filters in gastric bypass surgery / Surg Endosc 29:882~889
Ishihara K / 2009 / Clinical outcome of perioperative nonpermanent vena cava filter placement in patients with deep venous thrombosis or blood stasis of the vein / Surg Today 39:764~769
Deguchi J / 2010 / Do inferior vena cava filters reduce the risk of acute pulmonary embolism in preoperative patients with venous thromboembolism? / Surg Today 40:533~537
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