Original paper<br>Thromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment

Pawlaczyk-Gabriel K, Gabriel M, Pobojewski L, et al. Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment. Phlebological Review. 2014;22(2):50-57. doi:10.5114/pr.2014.48905.

APA

Pawlaczyk-Gabriel, K., Gabriel, M., Pobojewski, L., Krasiński, Z., Stanisić, M.,  & Gabriel, Z. et al. (2014). Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment. Phlebological Review, 22(2), 50-57. https://doi.org/10.5114/pr.2014.48905

Chicago

Pawlaczyk-Gabriel, Katarzyna, Marcin Gabriel, Leszek Pobojewski, Zbigniew Krasiński, Michał Stanisić, Zofia Gabriel,  and Małgorzata Olejniczak-Nowakowska et al. 2014. "Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment". Phlebological Review 22 (2): 50-57. doi:10.5114/pr.2014.48905.

Harvard

Pawlaczyk-Gabriel, K., Gabriel, M., Pobojewski, L., Krasiński, Z., Stanisić, M., Gabriel, Z., Olejniczak-Nowakowska, M., Wachal, K.,  and Urbanek, T. (2014). Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment. Phlebological Review, 22(2), pp.50-57. https://doi.org/10.5114/pr.2014.48905

MLA

Pawlaczyk-Gabriel, Katarzyna et al. "Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment." Phlebological Review, vol. 22, no. 2, 2014, pp. 50-57. doi:10.5114/pr.2014.48905.

Vancouver

Pawlaczyk-Gabriel K, Gabriel M, Pobojewski L, Krasiński Z, Stanisić M, Gabriel Z et al. Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment. Phlebological Review. 2014;22(2):50-57. doi:10.5114/pr.2014.48905.

PlumX metrics:

Objectives: This prospective, non-randomised study was aimed at the assessment of prevalence of thromboembolic events in vascular patients routinely receiving antithrombotic prophylaxis following surgical revascularisation of the lower extremities.

Material and methods: This study included 105 patients operated on for aortoiliac occlusive disease. Postoperatively all patients received pharmacological antithrombotic prophylaxis with low-molecular-weight heparin. Sonographic examination of the veins of low extremities was routinely performed three times: one day before the surgery, on the discharge day and 30 days after hospital discharge.

Results: Thromboembolic complications were found in 21 patients (19.05%), including 18 patients with deep venous thrombosis and 3 with pulmonary embolism. Thromboembolic events were more prevalent in older patients (68.22 vs. 62.65 years), those with necrotic lesions of the limbs, with lower preoperative concentration of hemoglobin (7.89 vs. 8.61 mmol/l), higher of fibrinogen (455 vs. 357 mg/dl) and of platelet count (334 vs. 250 109/l). Other risk factor comprised the number of transfused packed red blood cell units (3.39 vs. 1.45 units) and plasma units (1.61 vs. 0.39 units), and the length of stay in the intensive care unit (4.78 vs. 2.24 days).

Conclusions: Vascular patients develop thromboembolism very often, despite pharmacological prophylaxis. Thus, routine scanning for deep vein thrombosis before hospital discharge in order to exclude thrombosis should be considered in this group. Also, an extended post-discharge thromboprophylaxis in these patients should be considered.

keywords:

vascular surgery, aorto-iliac impatency, thromboembolic complications, Doppler ultrasonography, antithrombotic prophylaxis, low-molecular-weight heparins

Original paperThromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment

Katarzyna Pawlaczyk-Gabriel , Marcin Gabriel , Leszek Pobojewski , Zbigniew Krasiński , Michał Stanisić , Zofia Gabriel , Małgorzata Olejniczak-Nowakowska , Krzysztof Wachal , Tomasz Urbanek

vascular surgery, aorto-iliac impatency, thromboembolic complications, Doppler ultrasonography, antithrombotic prophylaxis, low-molecular-weight heparins

Original paper
Thromboembolic complications in patients using pharmacological antithrombotic prophylaxis and operated on for arterial occlusive disease in the aorto-iliac segment

Katarzyna Pawlaczyk-Gabriel

,

Marcin Gabriel

,

Leszek Pobojewski

,

Zbigniew Krasiński

,

Michał Stanisić

,

Zofia Gabriel

,

Małgorzata Olejniczak-Nowakowska

,

Krzysztof Wachal

,

Tomasz Urbanek