Post-spinal surgery ultrasound aids VTE management

May 16, 2014
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.

Explore further: VTE occurs in 13 percent of head, neck cancer surgery cases

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

Related Stories

VTE occurs in 13 percent of head, neck cancer surgery cases

October 4, 2013
(HealthDay)—Venous thromboembolism (VTE) rates in a prospective cohort of head and neck cancer surgical patients are higher than previously reported in retrospective studies, according to research published online Sept. ...

Risk factors for VTE post-spine surgery identified

October 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. 1 issue of Spine.

Venous thromboembolism up in adult hospitalizations

June 8, 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 in the June 8 issue ...

Patients with inflammatory bowel disease appear to be at increased risk for post-operative DVT, PE

October 17, 2011
Patients with inflammatory bowel disease (IBD) undergoing surgery may be more likely to develop deep vein thrombosis (DVT; blood clot in a deep vein in the thigh or leg) or pulmonary embolism (PE; blood clot in blood vessels ...

Aspirin may prevent DVT and PE in joint replacement patients

February 7, 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 ...

Surgical-site infections may increase risk of deadly blood clots after colorectal surgery

January 16, 2013
Despite receiving blood thinners and other clot prevention treatment, some patients still develop potentially lethal blood clots in the first month after their operations anyway, especially if they developed a surgical-site ...

Recommended for you

Smoking raises risk of aneurysm recurrence after endovascular treatment

August 17, 2017
In a new study, researchers report people who have experienced an aneurysm have another reason to quit smoking.

Study adds to evidence that most prescribed opioid pills go unused

August 2, 2017
In a review of half a dozen published studies in which patients self-reported use of opioids prescribed to them after surgery, researchers at Johns Hopkins report that a substantial majority of patients used only some or ...

Engineers harness the power of 3-D printing to help train surgeons, shorten surgery times

August 2, 2017
A team of engineers and pediatric orthopedic surgeons are using 3D printing to help train surgeons and shorten surgeries for the most common hip disorder found in children ages 9 to 16. In a recent study, researchers showed ...

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

0 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.