Deep vein thrombosis after thoracotomy

In a prospective study of 183 patients undergoing lateral thoracotomy the 125 I fibrinogen uptake test and perioperative heparin prophylaxis for deep-vein thrombosis were investigated. There was an incidence of deep vein thrombosis in 51% in untreated control patients. The heparin prophylaxis effect...

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Bibliographic Details
Published inThorax Vol. 33; no. 6; pp. 761 - 763
Main Authors Jackaman, F R, Perry, B J, Siddons, H
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and British Thoracic Society 01.12.1978
BMJ Publishing Group LTD
Subjects
Female
Fibrinogen
Heparin - therapeutic use
Humans
Iodine Radioisotopes
Male
Postoperative Complications - prevention & control
Prospective Studies
Thoracic Surgery
Thorax - surgery
Thrombophlebitis - prevention & control
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Summary:In a prospective study of 183 patients undergoing lateral thoracotomy the 125 I fibrinogen uptake test and perioperative heparin prophylaxis for deep-vein thrombosis were investigated. There was an incidence of deep vein thrombosis in 51% in untreated control patients. The heparin prophylaxis effectively reduced the incidence of deep venous thrombosis to 28% (P less than 0.005) without increasing postoperative blood loss. Unilateral thrombosis was found to be significantly more frequent in the leg opposite the side of the thoracotomy (P less than 0.005). The 125I fibrinogen test is essential in assessing methods of prophylaxis but is not recommended as a routine.
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ISSN:0040-6376
1468-3296
DOI:10.1136/thx.33.6.761