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Titolo:
LOCAL VENOUS THROMBOSIS AFTER CARDIAC-CATHETERIZATION
Autore:
ZAHN R; FROMM E; THOMA S; LOTTER R; ZANDER M; WAGNER S; SEIDL K; SENGES J;
Indirizzi:
HERZZENTRUM LUDWIGSHAFEN,DEPT CARDIOL,BREMSERSTR 79 D-67069 LUDWIGSHAFEN GERMANY
Titolo Testata:
Angiology
fascicolo: 1, volume: 48, anno: 1997,
pagine: 1 - 7
SICI:
0003-3197(1997)48:1<1:LVTAC>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
B-MODE ULTRASONOGRAPHY; REAL-TIME ULTRASOUND; DEEP-VEIN THROMBOSIS; CORONARY ARTERIOGRAPHY; VASCULAR COMPLICATIONS; LOWER-EXTREMITY; DIAGNOSIS; DUPLEX; PSEUDOANEURYSM; ANGIOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
R. Zahn et al., "LOCAL VENOUS THROMBOSIS AFTER CARDIAC-CATHETERIZATION", Angiology, 48(1), 1997, pp. 1-7

Abstract

Pulmonary embolism is a rare but life-threatening complication of cardiac catheterization. Underlying deep venous thrombosis (DVT) is oftennot detectable clinically. To determine the true incidence of DVT theauthors prospectively studied 450 consecutive patients (29% women, 71% men, mean age: fifty-eight years) undergoing a diagnostic cardiac catheterization. Patients were examined clinically and by duplex sonography with a high-resolution (5 or 7.5 MHz) transducer before and twenty-four hours after catheterization before mobilization. Duplex sonography excluded complete proximal DVT in all patients. Only partial occluding thrombi (pDVT) were detected in 11 (2.4%) patients. The thrombi were always localized at the puncture site. In 2 patients a difference was found in the circumferences of the legs, but no other clinical signs of DVT were seen. With use of continuous wave (cw) Doppler sonography, only 3 of these 11 patients (27%) showed a spontaneous (s) sound. Phlebography was performed in 4/11 patients (36%). In 2 patients the diagnosis was confirmed; in 1 patient extravenous compression was assumed, and the other demonstrated a normal-appearing phlebography at the time of investigation. Logistic regression analysis yielded a 3.5 timeshigher risk for developing a pDVT if a venous puncture was performed in addition to arterial puncture. Furthermore a 9.8 times higher risk was found if more than one venous puncture was necessary. During the follow-up no patient developed clinical signs of pulmonary embolism. The results of this study demonstrate that DVT is a rare complication ofcardiac catheterization (0/450 patients), but pDVT occurred in 2.4%. Risk factors for pDVT are the venous puncture itself and multiple puncture attempts. Clinical relevance of pDVT remains to be determined.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 21:42:33