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Exploring the Risk Factors for Deep Vein Thrombosis after Percutaneous Nephrolithotomy
Jia Wei He1, Zhan Peng Zhu2, Xiao Yan Cai3
1Department of Urology, Dongguan Songshan Lake Central Hospital, 523770 Dongguan, Guangdong, China.
Annali Italiani Di Chirurgia
|April 29, 2024
Summary
Deep vein thrombosis (DVT) is a risk after percutaneous nephrolithotomy (PCNL). Elevated D-dimer levels, longer bed rest, and higher Caprini risk scores independently predict DVT after PCNL.
Area of Science:
- Urology
- Vascular Surgery
- Nephrology
Background:
- Deep vein thrombosis (DVT) is a significant complication post-percutaneous nephrolithotomy (PCNL).
- Limited understanding of postoperative DVT risk factors necessitates further investigation.
- Pulmonary embolism is a severe potential consequence of DVT.
Purpose of the Study:
- To investigate and identify risk factors for deep vein thrombosis (DVT) following percutaneous nephrolithotomy (PCNL).
Main Methods:
- Retrospective study of 100 patients undergoing PCNL between March 2020 and March 2023.
- Evaluation of patient demographics, clinical data, DVT information, preoperative labs, and surgical details.
- Statistical analysis to identify correlations and independent risk factors for DVT.
Main Results:
- 32% of patients developed lower limb DVT post-PCNL.
- Significant correlations found between DVT risk and hyperlipidemia, operating time, postoperative bed rest, D-dimer levels, and Caprini Risk Assessment Model (RAM) scores.
- D-dimer levels on postoperative day one, prolonged bed rest, and Caprini RAM scores were identified as independent DVT risk factors.
Conclusions:
- D-dimer levels on postoperative day one are an independent risk factor for DVT after PCNL.
- Postoperative bed rest duration is an independent predictor of DVT risk following PCNL.
- Caprini Risk Assessment Model (RAM) scores are significant independent risk factors for DVT post-PCNL.
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