| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1993;56:223-227
© 1993 The Society of Thoracic Surgeons
McClellan Memorial Veterans' Hospital and University of Arkansas for Medical Sciences, Little Rock, Arkansas USA
* Address reprint requests to Dr Read, McClellan Memorial Veterans Hospital, 4300 W 7th St, Little Rock, AR 72205.
To determine the incidence of thromboembolism in relation to thoracotomy, 77 patients undergoing pulmonary resection were prospectively studied up to 30 days postoperatively for deep venous thrombosis and pulmonary embolism. Overall, 20 of 77 patients (26%) had thromboembolic events during their hospitalization. Four deep venous thromboses and 1 pulmonary embolism were detected in 5 of 77 patients preoperatively for an incidence of 6%. Postoperative thromboembolism was detected in 15 of 77 (19%). deep venous thrombosis in 11 (14%) and pulmonary embolism in 4 (5%). No postoperative thromboembolisms occurred in the 17 patients receiving preoperative aspirin or ibuprofen, whereas they did occur in 25% of the remainder ([equation]). Thromboembolism after pulmonary resection was more frequent with bronchogenic carcinoma than with metastatic cancer or benign disease ([equation]), adenocarcinoma compared with other types of carcinoma ([equation]), large primary lung cancer (>3 cm in diameter) compared with smaller lesions ([equation]), stage II compared with stage I ([equation]), and pneumonectomy or lobectomy compared with segmentectomy and wedge resection ([equation]). Three of 4 patients with thromboembolism detected preoperatively had operation within the previous year. Postoperative pulmonary embolism was fatal in 1 of 4 (25%) and accounted for the one death. These results suggest patients undergoing thoracotomy for lung cancer, especially adenocarcinoma, should be considered for thromboembolic prophylaxis.
This article has been cited by other articles:
|
|
 |
|
  M. K. Gould, D. A. Garcia, S. M. Wren, P. J. Karanicolas, J. I. Arcelus, J. A. Heit, and C. M. Samama Prevention of VTE in Nonorthopedic Surgical Patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines Chest, February 1, 2012; 141(2_suppl): e227S - e277S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Attaran, P. Somov, and W. I. Awad Randomised high- and low-dose heparin prophylaxis in patients undergoing thoracotomy for benign and malignant disease: effect on thrombo-elastography, Eur J Cardiothorac Surg, June 1, 2010; 37(6): 1384 - 1390. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Swiniarska, E. Zekanowska, M. Dancewicz, M. Bella, T. J. Szczesny, and J. Kowalewski Pneumonectomy due to lung cancer results in a more pronounced activation of coagulation system than lobectomy Eur J Cardiothorac Surg, December 1, 2009; 36(6): 1064 - 1068. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Kotoulas and S. Lachanis Embolism of the pulmonary artery stump after right pneumonectomy Interact CardioVasc Thorac Surg, May 1, 2009; 8(5): 563 - 564. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. D. Cassivi, M. S. Allen, G. D. Vanderwaerdt, L. L. Ewoldt, M. E. Cordes, D. A. Wigle, F. C. Nichols, P. C. Pairolero, and C. Deschamps Patient-Centered Quality Indicators for Pulmonary Resection Ann. Thorac. Surg., September 1, 2008; 86(3): 927 - 932. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. H. Geerts, D. Bergqvist, G. F. Pineo, J. A. Heit, C. M. Samama, M. R. Lassen, and C. W. Colwell Prevention of Venous Thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition) Chest, June 1, 2008; 133(6_suppl): 381S - 453S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Dentali, A. Malato, W. Ageno, A. Imperatori, M. Cajozzo, N. Rotolo, J. Douketis, S. Siragusa, and M. Crowther Incidence of venous thromboembolism in patients undergoing thoracotomy for lung cancer J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 705 - 706. [Full Text] [PDF]
|
|
|
|
|
|
G. Daddi, G. Milillo, L. Lupattelli, M. Ragusa, A. Lemmi, F. Puma, G. Agnelli, and Pulmonary Embolism in Thoracic Surgery Study Group Postoperative pulmonary embolism detected with multislice computed tomography in lung surgery for cancer J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 197 - 198. [Full Text] [PDF]
|
|
|
|
|
|
Thromboembolism after pneumonectomy for malignancy: An independent marker of poor outcome. J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 711 - 718.
|
|
|
|
 |
|
 P A Thomas, C Doddoli, F Barlesi, M Reynaud-Gaubert, R Giudicelli, and P Fuentes Late pulmonary artery stump thrombosis with post embolic pulmonary hypertension after pneumonectomy Thorax, February 1, 2006; 61(2): 177 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Y. Kim, J. B. Seo, E. J. Chae, K.-H. Do, J. S. Lee, J.-W. Song, K.-S. Song, and T.-H. Lim Filling Defect in a Pulmonary Arterial Stump on CT After Pneumonectomy: Radiologic and Clinical Significance Am. J. Roentgenol., October 1, 2005; 185(4): 985 - 988. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Czerny, T. Fleck, A. Salat, D. Zimpfer, W. Klepetko, E. Wolner, and M. R. Mueller Sealing of the mediastinum with a local hemostyptic agent reduces chest tube duration after complete mediastinal lymph node dissection for stage I and II non-small cell lung carcinoma Ann. Thorac. Surg., March 1, 2004; 77(3): 1028 - 1032. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Sakuragi, Y. Sakao, K. Furukawa, K. Rikitake, S. Ohtsubo, Y. Okazaki, M. Natsuaki, and T. Itoh Successful management of acute pulmonary embolism after surgery for lung cancer Eur J Cardiothorac Surg, October 1, 2003; 24(4): 580 - 587. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Kameyama, C.-l. Huang, D. Liu, T. Okamoto, E. Hayashi, Y. Yamamoto, and H. Yokomise Pulmonary embolism after lung resection: diagnosis and treatment Ann. Thorac. Surg., August 1, 2003; 76(2): 599 - 601. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. De Decker, P. G. Jorens, and P. Van Schil Cardiac complications after noncardiac thoracic surgery: an evidence-based current review Ann. Thorac. Surg., April 1, 2003; 75(4): 1340 - 1348. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Wechsler, A. M. Salazar, A. J. Gessner, P. W. Spirn, R. M. Shah, and R. M. Steiner CT of In Situ Vascular Stump Thrombosis After Pulmonary Resection for Cancer Am. J. Roentgenol., June 1, 2001; 176(6): 1423 - 1425. [Full Text] [PDF]
|
|
|
|
|
|
Q. Chen, A. T. M. Tang, and G. M. Tsang Acute pulmonary thromboembolism complicating pneumonectomy: successful operative management Eur J Cardiothorac Surg, February 1, 2001; 19(2): 223 - 225. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Sayeed and S. A.M. Nashef Successful thrombolysis for massive pulmonary embolism after pulmonary resection Ann. Thorac. Surg., June 1, 1999; 67(6): 1785 - 1787. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Dyszkiewicz and M. Skrzypczak Atrial fibrillation after surgery of the lung: clinical analysis of risk factors Eur J Cardiothorac Surg, June 1, 1998; 13(6): 625 - 628. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. J. Kroshus, V. R. Kshettry, M. I. Hertz, and R. M. Bolman III DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM AFTER LUNG TRANSPLANTATION J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 540 - 544. [Abstract] [Full Text]
|
|
|
|
|
|
S. Zianick, R. C. Read, L. M. Fink, E. J. Ferris, D. R. McFarland, and R. W. Barnes Reply Ann. Thorac. Surg., August 1, 1994; 58(2): 604 - 604. [PDF]
|
|
|
|
|
|
R. Aguilo and M. Llobera Thromboembolic prophylaxis in patients undergoing thoracic operations Ann. Thorac. Surg., August 1, 1994; 58(2): 603 - 604. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
