지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.98 No.6
- 발행연도
- 2020.6
- 수록면
- 324 - 331 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: Isolated distal deep vein thrombosis (IDDVT) is a localized lesion; nonetheless, the risk of proximal vein propagation makes it difficult to decide on the treatment protocol—that is, whether immediate anticoagulation after diagnosis or surveillance via serial imaging should be employed. This study aimed to investigate the appropriate treatment protocol for IDDVT in kidney transplant recipient (KTR).
Methods: Surveillance for venous thromboembolism (VTE) was performed using duplex ultrasonography (DUS) before transplant surgery and at 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after transplant surgery. Dual mechanical prophylaxis was administered to prevent VTE.
Results: In total, 60 out of 829 patients (7.2%) developed VTE, with 49 cases (81.6%) of IDDVT. Among IDDVT patients, 15 patients were treated using anticoagulation-first strategy, whereas the remaining 34 patients were treated using surveillance-first strategy. No patient in either group exhibited thrombus extension into the proximal vein or recurrence within 1 year from transplant surgery.
Conclusion: In Korean KTR, extension of IDDVT into the proximal vein could be prevented safely and effectively by serial DUS surveillance along with the maintenance of mechanical prophylaxis. However, the patients who have high thrombus burden or are difficult to get repeated DUS require the use of anticoagulation in early stages.
Methods: Surveillance for venous thromboembolism (VTE) was performed using duplex ultrasonography (DUS) before transplant surgery and at 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after transplant surgery. Dual mechanical prophylaxis was administered to prevent VTE.
Results: In total, 60 out of 829 patients (7.2%) developed VTE, with 49 cases (81.6%) of IDDVT. Among IDDVT patients, 15 patients were treated using anticoagulation-first strategy, whereas the remaining 34 patients were treated using surveillance-first strategy. No patient in either group exhibited thrombus extension into the proximal vein or recurrence within 1 year from transplant surgery.
Conclusion: In Korean KTR, extension of IDDVT into the proximal vein could be prevented safely and effectively by serial DUS surveillance along with the maintenance of mechanical prophylaxis. However, the patients who have high thrombus burden or are difficult to get repeated DUS require the use of anticoagulation in early stages.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
Solis MM / 1992 / Is anticoagulation indicated for asymptomatic postoperative calf vein thrombosis? / J Vasc Surg 16:414~418
Macdonald PS / 2003 / Short-term natural history of isolated gastrocnemius and soleal vein thrombosis / J Vasc Surg 37:523~527
Schwarz T / 2010 / Therapy of isolated calf muscle vein thrombosis : a randomized, controlled study / J Vasc Surg 52:1246~1250
Deitcher SR / 2003 / Calf deep venous thrombosis should be treated with anticoagulation / Med Clin North Am 87:1157~1164
Masuda EM / 2010 / The case for managing calf vein thrombi with duplex surveillance and selective anticoagulation / Dis Mon 56:601~613
Macdonald PS / 2003 / Short-term natural history of isolated gastrocnemius and soleal vein thrombosis / J Vasc Surg 37:523~527
Schwarz T / 2010 / Therapy of isolated calf muscle vein thrombosis : a randomized, controlled study / J Vasc Surg 52:1246~1250
Deitcher SR / 2003 / Calf deep venous thrombosis should be treated with anticoagulation / Med Clin North Am 87:1157~1164
Masuda EM / 2010 / The case for managing calf vein thrombi with duplex surveillance and selective anticoagulation / Dis Mon 56:601~613
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UCI(KEPA) : I410-ECN-0101-2020-514-000673095