Prevalence of Deep Vein Thrombosis and Pulmonary Embolism Treated with Mechanical Compression Device after Total Hip Arthroplasty
- 주제(키워드) deep vein thrombosis , pulmonary embolism , mechanical compression device only , total hip arthroplasty
- 등재 SCIE, SCOPUS
- 발행기관 CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
- 발행년도 2015
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000115658
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.arth.2014.11.004
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Several reports have suggested that there is a strikingly low prevalence of deep vein thrombosis (DVT) and pulmonary embolism( PE) after total hip arthroplasty (THA) in Asian patients. We determined the prevalence of DVT and PE after the use of a mechanical compression device only without pharmacological thromboprophylaxis in 459 patients (516 hips). The overall prevalence of DVT was 4.8% (27 of 561 hips). Nine of 27 hips had proximal thrombi. Three patients (0.7%) had asymptomatic PE. In our patients, combinations of absent thrombophilic polymorphisms with low clinical prothrombotic risk factors led to a low prevalence of DVT and virtually no symptomatic PE. Therefore, mechanical compression device only suffices to prevent DVT and PE in Asian patients. (C) 2014 Elsevier Inc. All rights reserved.
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