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Titolo:
The arteriovenous impulse system in total hip arthroplasty
Autore:
Eidner, G; Pohlmann, G; Anders, J; Grohmann, G;
Indirizzi:
Univrmany, Med Klin, Innere Med Klin 3, Dept Internal Med, D-07743 Jena, Ge Univ Jena Jena Germany D-07743 in 3, Dept Internal Med, D-07743 Jena, Ge Univ Jena, Dept Orthopaedy, D-6900 Jena, Germany Univ Jena Jena Germany D-6900 ena, Dept Orthopaedy, D-6900 Jena, Germany
Titolo Testata:
VASA-JOURNAL OF VASCULAR DISEASES
fascicolo: 2, volume: 28, anno: 1999,
pagine: 112 - 116
SICI:
0301-1526(199905)28:2<112:TAISIT>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEEP-VEIN THROMBOSIS; REPLACEMENT; COMPRESSION; FOOT;
Keywords:
arteriovenous impulse system; intermittent pneumatic compression; mechanical thrombosis prophylaxis; total hip arthroplasty; venous hemodynamics;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Pohlmann, G Univ01,na, Med Klin, Innere Med Klin 3, Dept Internal Med, Erlanger Allee 1 Univ Jena Erlanger Allee 101 Jena Germany D-07743 ger Allee 1
Citazione:
G. Eidner et al., "The arteriovenous impulse system in total hip arthroplasty", VASA, 28(2), 1999, pp. 112-116

Abstract

Background: Despite the continuing high incidence of deep vein thrombosis after total hip arthroplasty, currently available mechanical thromboprophylactic sq,stems are not sufficiently utilised in Germany. Patients and methods: Duplex-sonographic measurements of the maximum venous flow velocity (V femoralis) in 10 healthy individuals performed with a leg orientation synonymous to that during total hip arthroplasty were compared to figures obtained during an out-stretched leg position. Additionally, duplex- sonography was conducted on 9 patients intra-operatively during total hip replacement to complete the study. All investigations were executed both with and without application of the A-V Impulse System (AVIS), a mechanical thromboprophylactic procedure. Results: In contrast to the out-stretched leg position, a decreased venouspeak flow velocity during surgery, as well as in the operation-identical leg orientation was demonstrated in the absence of AVIS. However, by means of AVIS, a significant increase ill the venous peak flow velocity (p < 0.01)was achieved for both situations. Additionally: an increased vessel diameter of the V. femoralis communis as observed in 75% of patients due to the leg orientation stipulated for hip replacement surgery. Conclusion: The data suggest that the A-V Impulse System can effectively, accelerate the venous reflux-flow during operations involving hip replacements and thus provide an early preventative therapy for deep vein thrombosisafter a surgical procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 18:27:02