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[Venous thromboembolism in neurosurgery].

Toshinori Matsushige1, Katsuzo Kiya, Hideki Satoh

  • 1Department of Neurosurgery, Hiroshima Prefectural Hospital, Japan.

No Shinkei Geka. Neurological Surgery
|September 13, 2003
PubMed
Summary

Venous thromboembolism (VT), including pulmonary embolism (PE) and deep venous thrombosis (DVT), is a rare but severe complication in neurosurgery. Elderly females with cerebral stroke and high immobilization scores are at high risk.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Medicine

Context:

  • Venous thromboembolism (VT), encompassing pulmonary embolism (PE) and deep venous thrombosis (DVT), is a significant concern in patients with intracranial diseases.
  • Data on the clinical characteristics and incidence of VT in Japan, particularly in neurosurgical patients, remain limited.
  • Understanding these features is crucial for effective management and prevention strategies.

Purpose:

  • To investigate the clinicopathological features of VT in patients with intracranial diseases admitted to a neurosurgical department in Japan.
  • To identify the incidence, patient demographics, and associated intracranial conditions.
  • To determine risk factors and outcomes, including mortality rates, for VT in this patient cohort.

Summary:

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  • A retrospective analysis of 3,595 patients revealed an incidence of 0.22% for VT.
  • The study identified elderly females with cerebral stroke and high immobilization scores (modified Rankin's Scale 4-5) as high-risk groups.
  • Pulmonary embolism (PE) demonstrated an extremely high mortality rate, with all affected patients dying within 4 hours.
  • Impact:

    • This study highlights VT as a severe, potentially fatal complication in neurosurgical management.
    • Identifying high-risk patients allows for targeted prophylaxis and improved patient outcomes.
    • The findings underscore the need for heightened vigilance and proactive management of VT in neurosurgical patients.