Venous thromboembolic disease after hybrid hip arthroplasty with negative duplex screening.
Postoperative duplex ultrasonography screening after total hip arthroplasty has been shown to identify patients who may require treatment or additional monitoring for venous thromboembolic disease.
The potential for manifestation of venous thromboembolic disease subsequent to screening remains a concern.
The objective of this study was to determine the prevalence of symptomatic venous thromboembolic disease after total hip arthroplasty and after inhospital prophylaxis, inhospital screening with negative results for proximal deep venous thrombosis, and no posthospitalization venous thromboembolic disease prophylaxis.
One hundred fifty patients undergoing primary hybrid total hip arthroplasty and using pneumatic compression stockings and aspirin as prophylaxis against venous thromboembolic disease were screened for deep venous thrombosis with duplex ultrasonography on the fourth day after surgery.
Duplex ultrasonography screening revealed 17 (11.3%) patients with asymptomatic proximal deep venous thrombosis.
In response to duplex ultrasonography screening, these patients with proximal deep venous thrombosis received therapeutic anticoagulation.
Of 133 patients with a duplex screen with negative results for proximal deep venous thrombosis, 131 (98.5%) continued to have no symptoms of venous thromboembolic disease and two (1. (...)
Mots-clés Pascal : Prothèse, Total, Hanche, Thromboembolie, Complication, Postopératoire, Thrombose profonde, Symptomatologie, Homme, Epidémiologie, Prévalence, Dépistage, Imagerie ultrasonore, Hybride, Chirurgie orthopédique, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Appareil respiratoire pathologie, Veine pathologie, Exploration ultrason
Mots-clés Pascal anglais : Prosthesis, Total, Hip, Thromboembolism, Complication, Postoperative, Deep vein thrombosis, Symptomatology, Human, Epidemiology, Prevalence, Medical screening, Ultrasound imaging, Hybrid, Orthopedic surgery, Cardiovascular disease, Vascular disease, Respiratory disease, Venous disease, Sonography
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0253719
Code Inist : 002B12B03. Création : 16/11/1999.