Post-spinal surgery ultrasound aids VTE management

Post-spinal surgery ultrasound aids VTE management
Perioperative ultrasonography is important for proper management of venous thromboembolism, according to a study published in the May 1 issue of Spine.

(HealthDay)—Perioperative ultrasonography is important for proper management of venous thromboembolism (VTE), according to a study published in the May 1 issue of Spine.

Koji Akeda, M.D., Ph.D., from the Mie University Graduate School of Medicine in Japan, and colleagues conducted prospective follow-up on 209 undergoing spinal surgery (121 males, 88 females; average age, 64 years) who had ultrasonographic assessments of both legs before and after surgery. For primary VTE prophylaxis, a pneumatic sequential compression device and standard compression stockings were used. Pharmacological agents were not used for VTE prophylaxis unless a distal type (DVT) was found preoperatively.

The researchers found that 23 patients (11.0 percent) showed VTE in the spinal surgery perioperative period. Before surgery, nine patients (4.3 percent) had VTE (pulmonary embolism [PE] with proximal DVT, one; distal DVT, eight). New-onset VTE developed in 14 patients (6.7 percent; two PE with proximal DVT; 12 distal DVT) after spinal surgery. Two patients developed new-onset PE with proximal DVT after surgery. DVT disappeared (based on follow-up ultrasonography) completely in 85 percent of patients with a distal type DVT (17 of 20).

"DVT assessment using ultrasonography is important for proper management of VTE during the perioperative period of , especially for high-risk patients, such as those with advanced age or neurological deficit," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Risk factors for VTE post-spine surgery identified

Oct 18, 2013

(HealthDay)—There are multiple independent risk factors for the development of deep venous thrombosis (DVT) and/or pulmonary embolism (PE) after spine surgery, according to a study published in the Oct. ...

Venous thromboembolism up in adult hospitalizations

Jun 08, 2012

(HealthDay) -- Every year, more than half a million hospitalized U.S. adults acquire venous thromboembolism (VTE), a growing public health concern that is often preventable, according to research published ...

Aspirin may prevent DVT and PE in joint replacement patients

Feb 07, 2012

Following a total joint replacement, anticoagulation (blood thinning) drugs can prevent Deep Vein Thrombosis (DVT), a blood clot deep within the extremities, or a pulmonary embolism (PE), a complication that causes a blood ...

Recommended for you

ASPS: Cosmetic procedures increased 3 percent in 2014

53 minutes ago

(HealthDay)—According to a new report, 15.6 million cosmetic procedures, including both minimally-invasive and surgical, were performed in the United States in 2014, an increase of 3 percent since 2013. ...

Do heart surgery patients get too many blood tests?

2 hours ago

(HealthDay)—The high number of blood tests done before and after heart surgery can sometimes lead to excessive blood loss, possibly causing anemia and the need for a blood transfusion, new research suggests.

Google Glass shows promising uses in plastic surgery

3 hours ago

The "wearable technology" Google Glass has a wide range of possible applications in plastic surgery—with the potential to enhance surgical training, medical documentation, and patient safety, according to a special paper ...

Doctors nonsurgically correct infant ear deformities

6 hours ago

A team of researchers from Weill Cornell Medical College and NewYork-Presbyterian/Weill Cornell Medical Center has improved a nonsurgical procedure that safely and effectively corrects newborn ear deformities ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.