Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
METHOD FOR DETECTING DEEP VENOUS THROMBOSIS AT VENOUS VALVE POCKET FOR PROPHYLAXIS OF PERIOPERATIVE PULMONARY THROMBOEMBOLISM
TAKAYUKI KOMATSUKAZUHIKO OHSAWATOSHIHIRO KIKUCHI
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2012 Volume 58 Issue 5 Pages 436-440

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Abstract
Aim : We investigated methods for detecting deep venous thrombosis (DVT) at the valve pocket for the prophylaxis of perioperative pulmonary thromboembolism (PTE). Subjects : We applied the original standardized guidelines for the prophylaxis of perioperative PTE to 433 patients over a period of 6 months: of these 433 patients, 17 were classified under the highest risk group. Methods : Lower extremity venous ultrasonography (LEVUS) was performed on these 17 patients. Results : DVT was detected in the lower extremities in 9 patients, of which 5 had DVT at the valve pocket. Conclusions : This study suggests that LEVUS is useful for detecting DVT at the valve pocket. Further investigation into early detection and treatment for small DVT is needed.
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© 2012 The Juntendo Medical Society
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