TO THE PROBLEM OF DEEP VEIN THROMBOSIS OF THE LOWER EXTREMITIES IN THE POSTOPERATIVE PERIOD

DOI: https://doi.org/10.29296/25877305-2023-06-04
Issue: 
6
Year: 
2023

A. Morozov, Candidate of Medical Sciences; A. Sergeev, MD; E. Askerov, Candidate of Medical Sciences; V. Kadykov, Candidate of Medical Sciences;
T. Alieva, E. Bocharova, M. Belyak
Tver State Medical University, Ministry of Health of Russia

A review of foreign literature sources on the problem of postoperative development of deep vein thrombosis of the lower extremities is presented. The incidence of deep vein thrombosis of the lower extremities among patients who have undergone surgery depends on the type of surgery and risk factors to which the patient is exposed. Thrombosis is most likely to develop after open operations on large vessels, orthopedic and traumatological operations on the extremities. Of no small importance are blood counts, the presence of concomitant diseases such as hypertension, hypertension of the small circulatory circle, diabetes mellitus, osteoporosis and other chronic diseases. It is important to make a competent decision on surgical intervention, taking into account all the risk factors to which the patient is exposed, choosing an individual approach in the prevention of postoperative thrombosis.

Keywords: 
deep vein thrombosis
surgical intervention
thromboembolism
veins of the lower extremities.



References: 
  1. Khan F., Tritschler T., Kahn S.R. et al. Venous thromboembolism. Lancet. 2021; 398 (10294): 64–77. DOI: 10.1016/S0140-6736(20)32658-1
  2. Matthay Z.A., Flanagan C.P., Sanders K. et al. Risk factors for venous thromboembolism after vascular surgery and implications for chemoprophylaxis strategies. J Vasc Surg Venous Lymphat Disord. 2022; 10 (3): 585–593.e2. DOI: 10.1016/j.jvsv.2021.10.001
  3. Ortel T.L. Prevention and treatment of deep venous thrombosis. Vascular. 2008; 16 (Suppl 1): S64–70.
  4. Liu H., Peng Y. Analysis of Risk Factors for Postoperative Lower Extremity Deep Venous Thrombosis and its Treatment and Nursing. Emerg Med Int. 2022; 2022: 9180696. DOI: 10.1155/2022/9180696
  5. Seiden A.M., Pensak M.L. Postoperative deep venous thrombosis and pulmonary embolism: diagnosis, management, and prevention. Am J Otol. 1986; 7 (5): 377–83.
  6. McKerrow Johnson I., Shatzel J., Olson S. et al. Travel-Associated Venous Thromboembolism. Wilderness Environ Med. 2022; 33 (2): 169–78. DOI: 10.1016/j.wem.2022.02.004
  7. Zervos T.M., Bazydlo M., Tundo K. et al. Risk factors associated with symptomatic deep vein thrombosis following elective spine surgery: a case-control study. Neurosurgery. 2020; 67 (Suppl 1). DOI: 10.1093/neuros/nyaa447_699
  8. Sutzko D.C., Georgoff P.E., Obi A.T. et al. The association of venous thromboembolism chemoprophylaxis timing on venous thromboembolism after major vascular surgery. J Vasc Surg. 2018; 67 (1): 262–271.e1. DOI: 10.1016/j.jvs.2017.06.087
  9. Gade I.L., Kold S., Severinsen M.T. et al. Venous thromboembolism after lower extremity orthopedic surgery: A population-based nationwide cohort study. Res Pract Thromb Haemost. 2020; 5 (1): 148–58. DOI: 10.1002/rth2.12449
  10. Maheshati A., Yang Y., Habulihan H. Jingele. Prevalence and risk factors of preoperative deep venous thromboembolism in spinal fracture. Zhongguo Gu Shang. 2022; 35 (8): 717–23 [Chinese]. DOI: 10.12200/j.issn.1003-0034.2022.08.004
  11. Zhang D., Dyer G.S.M., Earp B.E. Venous Thromboembolism After Total Shoulder Arthroplasty: A Database Study of 31,918 Cases. J Am Acad Orthop Surg. 2022; 30 (19): 949–56. DOI: 10.5435/JAAOS-D-22-00352
  12. Wang H., Kandemir U., Liu P. et al. Perioperative incidence and locations of deep vein thrombosis following specific isolated lower extremity fractures. Injury. 2018; 49 (7): 1353–7. DOI: 10.1016/j.injury.2018.05.018
  13. Li Q., Chen X., Wang Y. et al. Analysis of the occurrence of deep venous thrombosis in lower extremity fractures: a clinical study. Pakistan J Med Sci. 2018; 34: 828–32. DOI: 10.12669/pjms.344.14752
  14. Ren Z., Yuan Y., Qi W. et al. The incidence and risk factors of deep venous thrombosis in lower extremities following surgically treated femoral shaft fracture: a retrospective case-control study. J Orthop Surg Res. 2021; 16 (1): 446. DOI: 10.1186/s13018-021-02595-z
  15. Ma J., Qin J., Hu J. et al. Incidence and hematological biomarkers associated with preoperative deep venous thrombosis following foot fractures. Foot Ankle Int. 2020; 41 (12): 1563–70. DOI: 10.1177/1071100720943844
  16. Afshari A., Fenger-Eriksen C., Monreal M. et al. European guidelines on perioperative venous thromboembolism prophylaxis: mechanical prophylaxis. Eur J Anaesthesiol. 2018; 35 (2): 112–5. DOI: 10.1097/EJA.0000000000000726
  17. Tan Z., Hu H., Deng X. et al. Incidence and risk factors for deep venous thrombosis of lower extremity after surgical treatment of isolated patella fractures. J Orthop Surg Res. 2021; 16 (1): 90. DOI: 10.1186/s13018-021-02240-9
  18. Huang J., Kong J., Zhang X. et al. Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience. Vascular. 2022: 17085381221128056. DOI: 10.1177/17085381221128056
  19. Zhang W., Huai Y., Wang W. et al. A Retrospective cohort study on the risk factors of deep vein thrombosis (DVT) for patients with traumatic fracture at Honghui Hospital. BMJ Open. 2019; 9 (3): e024247. DOI: 10.1136/bmjopen-2018-024247
  20. Hoffer E.K. Inferior Vena Cava Filters in the Management of Venous Thromboembolism. JAMA. 2019; 321 (10): 1006. DOI: 10.1001/jama.2018.21123
  21. Johnson K., Clegg S., Alsoof D. et al. Prostate Cancer History and Total Hip Arthroplasty: A Matched Cohort Analysis Investigating Venous Thromboembolism and Anticoagulation. Arthroplast Today. 2022; 17: 198–204.e2. DOI: 10.1016/j.artd.2022.07.020
  22. Dziekiewicz M., Obara A., Makowski K. Multifocal Sarcoma Mimicking Superficial Vein Thrombosis of the Leg: A Case Report. Am J Case Rep. 2022; 23: e937317. DOI: 10.12659/AJCR.937317
  23. Huang Y., Ge H., Wang X. et al. Association Between Blood Lipid Levels and Lower Extremity Deep Venous Thrombosis: A Population-Based Cohort Study. Clin Appl Thromb Hemost. 2022; 28: 10760296221121282. DOI: 10.1177/10760296221121282
  24. Xiao S., Geng X., Zhao J. et al. Risk factors for potential pulmonary embolism in the patients with deep venous thrombosis: a retrospective study. Eur J Trauma Emerg Surg. 2020; 46 (2): 419–24. DOI: 10.1007/s00068-018-1039-z
  25. Duffett L., Castellucci L.A., Forgie M.A. Pulmonary embolism: update on management and controversies. BMJ. 2020; 370: m2177. DOI: 10.1136/bmj.m2177
  26. Wang L., Wang W., Shu T. et al. Potential risk factors for recurrent pulmonary embolism in hospitalized patients. Ann Palliat Med. 2021; 10 (2): 2134–42. DOI: 10.21037/apm-21-36
  27. Blitzer R.R., Eisenstein S. Venous Thromboembolism and Pulmonary Embolism: Strategies for Prevention and Management. Surg Clin North Am. 2021; 101 (5): 925–38. DOI: 10.1016/j.suc.2021.06.015
  28. Park M.Y., Fletcher J.P., Hoffmann C. et al. Prevention of venous thromboembolism through the implementation of a risk assessment tool: a comparative study in medical and surgical patients. Int Angiol. 2018; 37 (5): 411–8. DOI: 10.23736/S0392-9590.18.03969-X
  29. Segon Y.S., Summey R.D., Slawski B. et al. Surgical venous thromboembolism prophylaxis: clinical practice update. Hosp Pract (1995). 2020; 48 (5): 248–57. DOI: 10.1080/21548331.2020.1788893
  30. Bartlett M.A., Mauck K.F., Stephenson C.R. et al. Perioperative Venous Thromboembolism Prophylaxis. Mayo Clin Proc. 2020; 95 (12): 2775–98. DOI: 10.1016/j.mayocp.2020.06.015
  31. Venclauskas L., Maleckas A., Arcelus J.I. ESA VTE Guidelines Task Force. European guidelines on perioperative venous thromboembolism prophylaxis: Surgery in the obese patient. Eur J Anaesthesiol. 2018; 35 (2): 147–53. DOI: 10.1097/EJA.0000000000000703