Deep Venous Thrombosis after Arterial Surgery a Literature Review

Abstract Objective To quantify the risk of DVT in arterial surgery, and to assess the need for prophylaxis. Methods A search was carried out through Medline, Embase and Cochrane databases to identify published studies on DVT in arterial surgery. To quantify the risk of DVT both randomised and prospe...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2008-11, Vol.36 (5), p.565-573
Main Authors: Bani-Hani, M, Titi, M, Al-khaffaf, H
Format: Article
Language:English
Subjects:
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Amputation - adverse effects
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Aorta - surgery
Arterial surgery
Arteries - surgery
Deep vein thrombosis
Drug Administration Schedule
Evidence-Based Medicine
Hemorrhage - chemically induced
Humans
Pulmonary embolism
Pulmonary Embolism - etiology
Pulmonary Embolism - prevention & control
Risk Assessment
Surgery
Vascular surgery
Vascular Surgical Procedures - adverse effects
Venous Thrombosis - complications
Venous Thrombosis - diagnosis
Venous Thrombosis - etiology
Venous Thrombosis - prevention & control
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Summary:Abstract Objective To quantify the risk of DVT in arterial surgery, and to assess the need for prophylaxis. Methods A search was carried out through Medline, Embase and Cochrane databases to identify published studies on DVT in arterial surgery. To quantify the risk of DVT both randomised and prospective non-randomised studies were included for analysis. However, to assess the need for prophylaxis only randomised controlled trials were considered. Results Twenty three prospective studies that evaluated DVT in arterial surgery were identified. Ten reported data about DVT in aortic surgery, seven studies evaluated DVT in general vascular surgery, three studied DVT in infra-inguinal vascular surgery and three studied DVT incidence in patients after limb amputations. Conclusion There is a wide variation in the reported incidence of DVT in arterial surgery (2%–24%). This is mostly due to the diversity of screening methods used and the inclusion or exclusion of below knee DVT. There is insufficient evidence to make a valid conclusion regarding the routine use of anticoagulants prophylaxis in arterial surgery. However, until such evidence becomes available, DVT prophylaxis in patients undergoing arterial surgery will continue to be guided by evidence gained from studies of general surgical patients.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2008.07.007