Deep Vein Thrombosis After Total Hip Arthroplasty and Total Knee Arthroplasty in Patients With Previous Ischemic Stroke

被引:8
作者
Qin, Jizheng [1 ,2 ]
Xu, Zhihong [1 ,2 ]
Shi, Dongquan [1 ,2 ]
Chen, Dongyang [1 ,2 ]
Dai, Jin [1 ,2 ]
Teng, Huajian [2 ]
Jiang, Qing [1 ,2 ]
机构
[1] Nanjing Univ, Drum Tower Hosp, Sch Med, Nanjing 210008, Jiangsu, Peoples R China
[2] Nanjing Univ, Nanjing 210008, Jiangsu, Peoples R China
关键词
Ischaemic stroke; total hip arthroplasty; total knee arthroplasty; deep vein thrombosis; MOLECULAR-WEIGHT HEPARIN; VENOUS THROMBOSIS; THROMBOEMBOLISM; COMPLICATIONS; PROPHYLAXIS; PREVENTION; ENOXAPARIN; REPLACEMENT; MULTICENTER; TRIAL;
D O I
10.1177/1534734613493291
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The present study evaluated the prevalence and therapy of deep vein thrombosis (DVT) after total hip arthroplasty (THA) and total knee arthroplasty (TKA) in 57 patients with previous ischemic stroke. Postoperative anticoagulants were used for DVT prophylaxis, and batroxobin and prolonged anticoagulants were used for thrombolysis in DVT subjects. The incidence of DVT after THA and TKA in patients with previous ischemic stroke was 16.2% and 20%, respectively. No bleeding complications were observed and no new ischemic stroke occurred during the following 3 months. The prevalence DVT after THA and TKA in patients with previous ischemic stroke was not specific, and the treatment of DVT with batroxobin and anticoagulants was effective and safe.
引用
收藏
页码:316 / 319
页数:4
相关论文
共 29 条
[1]   Low-molecular-weight heparins and heparinoids in acute ischemic stroke - A meta-analysis of randomized controlled trials [J].
Bath, PMW ;
Iddenden, R ;
Bath, FJ .
STROKE, 2000, 31 (07) :1770-1778
[2]  
Chin P L, 2009, J Orthop Surg (Hong Kong), V17, P1
[3]   THROMBOPHLEBITIS FOLLOWING KNEE SURGERY [J].
COHEN, SH ;
EHRLICH, GE ;
KAUFFMAN, MS ;
COPE, C .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (01) :106-112
[4]   PROPHYLAXIS AGAINST VENOUS THROMBOSIS AFTER TOTAL HIP-ARTHROPLASTY [J].
FELLER, JA ;
PARKIN, JD ;
PHILLIPS, GW ;
HANNON, PJ ;
HENNESSY, O ;
HUGGINS, RM .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1992, 62 (08) :606-610
[5]   Prevention of venous thromboembolic disease following primary total knee arthroplasty - A randomized, multicenter, open-label, parallel-group comparison of enoxaparin and warfarin [J].
Fitzgerald, RH ;
Spiro, TE ;
Trowbridge, AA ;
Gardiner, GA ;
Whitsett, TL ;
O'Connell, MB ;
Ohar, JA ;
Young, TR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (06) :900-906
[6]   Prevention of venous thromboembolism [J].
Geerts, WH ;
Heit, JA ;
Clagett, GP ;
Pineo, GF ;
Colwell, CW ;
Anderson, FA ;
Wheeler, HB .
CHEST, 2001, 119 (01) :132S-175S
[7]  
Harvey Richard L, 2003, Top Stroke Rehabil, V10, P61
[8]  
HOEK JA, 1992, THROMB HAEMOSTASIS, V67, P28
[9]   A COMPARISON OF SUBCUTANEOUS LOW-MOLECULAR-WEIGHT HEPARIN WITH WARFARIN SODIUM FOR PROPHYLAXIS AGAINST DEEP-VEIN THROMBOSIS AFTER HIP OR KNEE IMPLANTATION [J].
HULL, R ;
RASKOB, G ;
PINEO, G ;
ROSENBLOOM, D ;
EVANS, W ;
MALLORY, T ;
ANQUIST, K ;
SMITH, F ;
HUGHES, G ;
GREEN, D ;
ELLIOTT, CG ;
PANJU, A ;
BRANT, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (19) :1370-1376
[10]   EFFECTIVENESS OF INTERMITTENT PNEUMATIC LEG COMPRESSION FOR PREVENTING DEEP-VEIN THROMBOSIS AFTER TOTAL HIP-REPLACEMENT [J].
HULL, RD ;
RASKOB, GE ;
GENT, M ;
MCLOUGHLIN, D ;
JULIAN, D ;
SMITH, FC ;
DALE, NI ;
REEDDAVIS, R ;
LOFTHOUSE, RN ;
ANDERSON, C .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 263 (17) :2313-2317