Comparison of Simultaneous and Alternate Bilateral Pneumatic Compression in Hemodynamic Effects and Thromboprophylaxis After Total Knee Arthroplasty

被引：4

作者：

Choi, Jae-Sung ^{[1
]}

Han, Hyuk-Soo ^{[2
]}

Choi, Young Ho ^{[3
]}

Kwon, Jae Hyun ^{[4
]}

Ahn, Hong-Yup ^{[5
]}

机构：

[1] Seoul Natl Univ, Boramae Hosp, Dept Thorac & Cardiovasc Surg, Seoul Metropolitan Govt, Seoul 156707, South Korea

[2] Seoul Natl Univ, Boramae Hosp, Dept Orthoped Surg, Seoul Metropolitan Govt, Seoul 156707, South Korea

[3] Seoul Natl Univ, Boramae Hosp, Dept Radiol, Seoul Metropolitan Govt, Seoul 156707, South Korea

[4] Dongguk Univ, Ilsan Hosp, Dept Radiol, Div Intervent Radiol, Gyeonggi Do, South Korea

[5] Dongguk Univ, Dept Stat, Seoul, South Korea

来源：

CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS | 2015年 / 21卷 / 07期

关键词：

arthroplasty; hemodynamics; intermittent pneumatic compression device; knee; venous thrombosis; DEEP-VEIN THROMBOSIS; VENOUS THROMBOSIS; PREVENTION; PROPHYLAXIS; EFFICACY; REPLACEMENT; VENOGRAPHY; TOURNIQUET; DEVICES;

D O I：

10.1177/1076029613518366

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In this randomized trial, we compared the hemodynamic effects of 2 different methods of bilateral sequential pneumatic compression (Simultaneous compression with Fixed cycling rate [SF] vs Alternate compression with Adjusted cycling rate [AA]) and investigated whether venous flow augmentation influenced deep vein thrombosis (DVT) development in patients undergoing total knee arthroplasty. Pneumatic compression was started on the operation day and applied to discharge. A total of 108 limbs was evaluated by computed tomographic angiography and duplex ultrasound. Augmented peak volume flow (P = .008), expelled total volume (P < .001), and expelled peak volume (P < .001) were significantly larger in group SF. The DVT developed in 35 (32.4%) limbs, and they were neither symptomatic nor ileofemoral in location. The enhanced hemodynamic parameters did not influence the DVT development. In conclusion, group SF showed superior hemodynamic efficacy, but this superiority may not be a surrogate for better thromboprophylaxis.

引用

页码：653 / 660

页数：8

共 30 条

[1] EFFECTS OF TOURNIQUET DURING TOTAL KNEE ARTHROPLASTY - A PROSPECTIVE RANDOMIZED STUDY [J].

ABDELSALAM, A ;

EYRES, KS .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (02) :250-253

[2]

BACHMANN F, 1976, SCHWEIZ MED WSCHR, V106, P1819

[3] Intermittent pneumatic compression devices - Physiological mechanisms of action [J].

Chen, AH ;

Frangos, SG ;

Kilaru, S ;

Sumpio, BE .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2001, 21 (05) :383-392

[4]

Chin P L, 2009, J Orthop Surg (Hong Kong), V17, P1

[5] Ultrasound surveillance for asymptomatic deep venous thrombosis after total joint replacement [J].

Ciccone, WJ ;

Fox, PS ;

Neumyer, M ;

Rubens, D ;

Parrish, WM ;

Pellegrini, VD .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1998, 80A (08) :1167-1174

[6] Lower limb arthroplasty complicated by deep venous thrombosis - Prevalence and subjective outcome [J].

Cordell-Smith, JA ;

Williams, SC ;

Harper, WM ;

Gregg, PJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (01) :99-101

[7] Prevention of VTE in Orthopedic Surgery Patients Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J].

Falck-Ytter, Yngve ;

Francis, Charles W. ;

Johanson, Norman A. ;

Curley, Catherine ;

Dahl, Ola E. ;

Schulman, Sam ;

Ortel, Thomas L. ;

Pauker, Stephen G. ;

Colwell, Clifford W., Jr. .

CHEST, 2012, 141 (02) :E278S-E325S

[8]

Fard MN, 2001, J CLIN ULTRASOUND, V29, P92

[9]

Fujiwara A, 1998, ORTHOPED TRAUMATOL, V47, P370

[10] Prevention of venous thromboembolism [J].

Geerts, William H. ;

Bergqvist, David ;

Pineo, Graham F. ;

Heit, John A. ;

Samama, Charles M. ;

Lassen, Michael R. ;

Colwell, Clifford W. .

CHEST, 2008, 133 (06) :381S-453S

← 1 2 3 →