Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study

被引:14
作者
Dattani, Nikesh [1 ]
Shalhoub, Joseph [2 ]
Nandhra, Sandip [3 ]
Lane, Tristan [4 ]
Abu-Own, Abdulsalam [5 ]
Elbasty, Ahmed [6 ]
Jones, Aled [7 ]
Duncan, Andrew [8 ]
Garnham, Andrew [9 ]
Thapar, Ankur [10 ]
Murray, Anna [11 ]
Baig, Anzar [12 ]
Saratzis, Athanasios [8 ]
Sharif, Atif [13 ]
Huasen, Bella [14 ]
Dawkins, Claire [15 ]
Nesbitt, Craig [16 ]
Carradice, Daniel [17 ]
Morrow, Darren [12 ]
Bosanquet, David [18 ]
Kavanagh, Eamon [19 ,20 ]
Shaikh, Faisal [21 ]
Gosi, Gergely [22 ]
Ambler, Graeme [23 ]
Fulton, Gregory [24 ]
Singh, Gurdas [25 ]
Travers, Hannah [11 ]
Moore, Hayley [6 ]
Olivier, James [26 ]
Hitchman, Louise [17 ]
O'Donohoe, Martin [27 ]
Popplewell, Matthew [28 ]
Medani, Mekki [29 ]
Jenkins, Michael [2 ]
Goh, Mingzheng A. [30 ]
Lyons, Oliver [30 ]
McBride, Olivia [31 ]
Moxey, Paul [32 ]
Stather, Philip [33 ]
Burns, Phillipa [31 ]
Forsythe, Rachel [34 ]
Sam, Rachel [11 ]
Brar, Ranjeet [35 ]
Brightwell, Robert [12 ]
Benson, Ruth [36 ]
Onida, Sarah [10 ]
Paravastu, Sharath [37 ]
Lambracos, Simon [38 ]
Vallabhaneni, Srinivasa R. [39 ]
Walsh, Stewart [40 ]
机构
[1] Worcestershire Acute Hosp NHS Trust, Vasc Surg Unit, Worcester, Worcs, England
[2] Imperial Coll Healthcare NHS Trust, London, England
[3] Hull York Med Sch, Acad Vasc Surg Hull, Kingston Upon Hull, East Yorkshire, England
[4] Imperial Coll London, Acad Sect Vasc Surg, Dept Surg & Canc, London, England
[5] Colchester Hosp Univ NHS Fdn Trust, Colchester, Essex, England
[6] Frimley Pk Hosp NHS Fdn Trust, Surrey, England
[7] Royal Cornwall Hosp NHS Trust, Truro, Cornwall, England
[8] Univ Hosp Leicester NHS Trust, Leicester, Leics, England
[9] Royal Wolverhampton Hosp NHS Trust, Wolverhampton, England
[10] Imperial Coll London, Acad Sect Vasc Surg, London, England
[11] Univ Hosp Birmingham NHS Fdn Trust, Birmingham, W Midlands, England
[12] Norfolk & Norwich Univ Hosp NHS Trust, Norwich, Norfolk, England
[13] Dudley Grp NHS Fdn Trust, Dudley, West Midlands, England
[14] Lancashire Teaching Hosp NHS Fdn, Preston, Lancs, England
[15] Sunderland Royal Hosp, Sunderland, England
[16] Newcastle Tyne Hosp NHS Trust, Newcastle Upon Tyne, Tyne & Wear, England
[17] Hull Royal Infirm, Kingston Upon Hull, England
[18] Southmead Hosp, Bristol, Avon, England
[19] Univ Limerick, Hosp Grp, Vasc Surg, Limerick, Ireland
[20] Univ Limerick, Grad Entry Med Sch, Limerick, Ireland
[21] Heartlands Hosp, Birmingham, W Midlands, England
[22] Univ Hosp Waterford, Vasc Surg, Waterford, Ireland
[23] Royal Gwent Hosp, Newport, Shrops, England
[24] Cork Univ Hosp Grp, Cork, Ireland
[25] Guys Hosp, London, Ireland
[26] Musgrove Pk Hosp, Taunton, Somerset, England
[27] Mater Misericordiae Univ Hosp, Dublin, Ireland
[28] Univ Hosp Coventry & Warwickshire NHS Trust, Coventry, W Midlands, England
[29] Beaumont Hosp, Dublin, Ireland
[30] Basildon Univ Hosp, Basildon, Essex, England
[31] Edinburgh Royal Infirm, Edinburgh, Midlothian, Scotland
[32] St George Hosp, Vasc Surg, London, Tooting, England
[33] Addenbrookes Hosp, Cambridge, Cambs, England
[34] Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland
[35] Royal Free London NHS Fdn Trust, London, Scotland
[36] Univ Birmingham, Inst Canc & Genom Sci, Birmingham, W Midlands, England
[37] Gloucestershire Hosp NHS Fdn Trust, Cheltenham, Glos, England
[38] Western Sussex Hosp NHS Trust, Worthing, W Sussex, England
[39] Royal Liverpool & Broadgreen Univ Hosp NHS Trust, Liverpool, Merseyside, England
[40] Natl Univ Ireland, Lambe Inst Translat Discipline Surg, Galway, Ireland
[41] Univ Limerick Hosp Grp, Limerick, Ireland
[42] Altnagelvin Hosp Hlth & Social Serv Trust, Derry, Londonderry, North Ireland
关键词
Deep vein thrombosis; varicose veins; venous thromboembolism; VTE management; GREAT SAPHENOUS-VEIN; ABLATION; COMPRESSION; THROMBOSIS; REFERRALS;
D O I
10.1177/0268355520936420
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives Venous thromboembolism is a potentially fatal complication of superficial endovenous treatment. Proper risk assessment and thromboprophylaxis could mitigate this hazard; however, there are currently no evidence-based or consensus guidelines. This study surveyed UK and Republic of Ireland vascular consultants to determine areas of consensus. Methods A 32-item survey was sent to vascular consultants via the Vascular and Endovascular Research Network (phase 1). These results generated 10 consensus statements which were redistributed (phase 2). 'Good' and 'very good' consensus were defined as endorsement/rejection of statements by >67% and >85% of respondents, respectively. Results Forty-two consultants completed phase 1. This generated seven statements regarding risk factors mandating peri-procedural pharmacoprophylaxis and three statements regarding specific pharmacoprophylaxis regimes. Forty-seven consultants completed phase 2. Regarding venous thromboembolism risk factors mandating pharmacoprophylaxis, 'good' and 'very good' consensus was achieved for 5/7 and 2/7 statements, respectively. Regarding specific regimens, 'very good' consensus was achieved for 3/3 statements. Conclusions The main findings from this study were that there was 'good' or 'very good' consensus that patients with any of the seven surveyed risk factors should be given pharmacoprophylaxis with low-molecular-weight heparin. High-risk patients should receive one to two weeks of pharmacoprophylaxis rather than a single dose.
引用
收藏
页码:706 / 714
页数:9
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