The possibilities for inclusion of electromuscular stimulation of venous return in combined prophylaxis of venous thromboembolism in the surgical patients

Kuznetsov N.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta GOU VPO RGMU Roszdrava, Moskva

Laberko L.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo nauchno-issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Lobastov K.V.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta GOU VPO RGMU Roszdrava, Moskva

ORCID: 0000-0002-5358-7218

Barinov V.E.

klinika MEDSI "Amerikanskiĭ meditsinskiĭ tsentr", Moskva

Gorshkov K.M.

Gorodskaia klinicheskaia bol'nitsa #12 Departamenta zdravookhraneniia Moskvy

Asratian S.A.

Gorodskaia klinicheskaia bol'nitsa #12 Departamenta zdravookhraneniia Moskvy

The possibilities for inclusion of electromuscular stimulation of venous return in combined prophylaxis of venous thromboembolism in the surgical patients

Authors:

Kuznetsov N.A., Laberko L.A., Lobastov K.V., Barinov V.E., Gorshkov K.M., Asratian S.A.

More about the authors

Journal: Journal of Venous Disorders. 2012;6(2): 19‑24

Downloaded: 3

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Kuznetsov NA, Laberko LA, Lobastov KV, Barinov VE, Gorshkov KM, Asratian SA. The possibilities for inclusion of electromuscular stimulation of venous return in combined prophylaxis of venous thromboembolism in the surgical patients. Journal of Venous Disorders. 2012;6(2):19‑24. (In Russ.)

Подписка 2025-2 (Journal of Venous Disorders)

Close metadata

Recommended articles:

Embolic Risk of Deep Vein Thrombosis is not Related to the Nature of Proximal Clot. Journal of Venous Disorders. 2024;(2):115-121

Modelling and prevention of postoperative adhesions in gynaecological and pelvic surgery in experiment: morphological and ultrastructural features. Russian Journal of Human Reproduction. 2024;(2):42-50

Promising approaches to the pathogenetic therapy of amyotrophic lateral sclerosis. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(4):13-21

Topical application of hypotensive drugs for the prevention of intraocular pressure elevation after intravitreal injections of anti-VEGF drugs. Russian Annals of Ophthalmology. 2024;(2-2):73-79

Surgical technique for aspiration of soft lens nucleus with preoperative femtosecond laser-assisted fragmentation. Russian Annals of Ophthalmology. 2024;(2-2):109-115

Rotational technique for emulsification of soft lens nucleus. Russian Annals of Ophthalmology. 2024;(2-2):123-128

The impact of artificial intelligence on double reading of mammograms. Russian Journal of Preventive Medicine. 2024;(5):32-37

Methods of cost-effectiveness evaluation of endovascular patent foramen ovale closure for secondary prevention of cryptogenic stroke. Russian Journal of Preventive Medicine. 2024;(6):105-110

Artificial intelligence in dermatology: opportunities and prospects. Russian Journal of Clinical Dermatology and Venereology. 2024;(3):246-252

This controlled prospective study involving surgical patients was designed to estimate the efficacy of electromuscular stimulation (EMS) of venous return in combined prophylaxis of venous thromboembolism (VTE). The study included 60 patients requiring general surgical or neurosurgical treatment and belonging to a group with the high risk of VTE. They were randomly allocated to the two comparable groups of 60 subjects each. The protocol of VTE prophylaxis for the first (main) group included electromuscular stimulation, anticoagulation therapy with the use of a graduated mid-stretch compression bandage. In the control group, the prophylactic treatment consisted of the placement of a similar bandage and the prescription of direct anticoagulants without electromyostimulation. A single case of deep vein thrombosis (3.3%) in the absence of pulmonary embolism was documented in group 1 whereas 10 patients of the control group developed thrombotic occlusion in the inferior vena cava system (33%) and two others (6.7%) presented with thromboembolism of the pulmonary arteries. It is concluded that introduction of electromuscular stimulation in the program of combined prophylaxis of VTE permitted to decrease the frequency of this complication in the surgical patients.

Keywords:

venous thrombosis

pulmonary embolism

prophylaxis

surgery

Authors:

Kuznetsov N.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta GOU VPO RGMU Roszdrava, Moskva

Laberko L.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo nauchno-issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Lobastov K.V.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta GOU VPO RGMU Roszdrava, Moskva

ORCID: 0000-0002-5358-7218

Barinov V.E.

klinika MEDSI "Amerikanskiĭ meditsinskiĭ tsentr", Moskva

Gorshkov K.M.

Gorodskaia klinicheskaia bol'nitsa #12 Departamenta zdravookhraneniia Moskvy

Asratian S.A.

Gorodskaia klinicheskaia bol'nitsa #12 Departamenta zdravookhraneniia Moskvy

List of references:

Cohen A.T., Agnelli G., Anderson F.A., Arcelus J.I., Bergqvist D., Brecht J.G., Greer I.A., Heit J.A., Hutchinson J.L., Kakkar A.K., Mottier D., Oger E., Samama M.M., Spannagl M. VTE Impact Assessment Group in Europe (VITAE). The number of VTE events and associated morbidity and mortality. Thromb Haemost 2007; 98: 4: 756-764.
Heit J.A., Melton L.J.3rd, Lohse C.M., Petterson T.M., Silverstein M.D., Mohr D.N., O'Fallon W.M. Incidence of venous thromboembolism in hospitalized patients vs community residents. Mayo Clin Proc 2001; 76: 11: 1102-1110.
Virchow R.L.K. Thrombose und Embolie. Gefässentzündung und septische Infektion. Gesammelte Abhandlungen zur wissenschaftlichen Medicin. Frankfurt am Main: Von Meidinger & Sohn 1856; 219-732. Translation in Matzdorff AC, Bell WR (1998). Thrombosis and embolie (1846-1856). Canton, Massachusetts: Science History Publications 1856.
Taniguchi S., Fukuda I., Daitoku K., Minakawa M., Odagiri S., Suzuki Y., Fukui K., Asano K., Ohkuma H. Prevalence of venous thromboembolism in neurosurgical patients. Heart Vessels 2009; 24: 6: 425-428.
Khaldi A., Helo N., Schneck M.J., Origitano T.C. Venous thromboembolism: deep venous thrombosis and pulmonary embolism in a neurosurgical population. J Neurosurg 2011; 114: 1: 40-46.
Boeer A., Voth E., Henze T., Prange H.W. Early heparin therapy in patients with spontaneous intracerebral haemorrhage. J Neurol Neurosurg Psychiat 1991; 54: 466-467.
Dennis M., Sandercock P.A., Reid J., Graham C., Murray G., Venables G., Rudd A., Bowler G., CLOTS Trials Collaboration. Effectiveness of thigh-length graduated compression stockings to reduce the risk of deep vein thrombosis after stroke (CLOTS trial 1): a multicentre, randomised controlled trial. Lancet 2009; 373: 9679: 1958-1965.
Dennis M., Cranswick G., Deary A., Fraser A., Graham C., Grant S., Gunkel A., Hunter J., MacRae A., Perry D., Soosay V., Williams C., Williamson A., Young A., Dennis M., Sandercock P., Reid J., Graham C., Murray G., Venables G., Rudd A., Bowler G., Cranswick G., Dennis M., Graham C., Lewis S., Murray G., Reid J., Rudd A., Sandercock P., Venables G., Bowler G., Celani M.G., Ricci S., Lindley R., Celani M.G., Hautvast M., Paterson M., Reid J., Ting T., Baigent C., Bamford J., Slattery J., CLOTS Trials Collaboration. Thigh-length versus below-knee stockings for deep venous thrombosis prophylaxis after stroke: a randomized trial. Ann Int Med 2010; 153: 9: 553-562.
ENOXACAN Study Group. Efficacy and safety of enoxaparin versus unfractionated heparin for prevention of deep vein thrombosis in elective cancer surgery: a double-blind randomized multicentre trial with venographic assessment. Br J Surg 1997; 84: 8: 1099-1103.
McLeod R.S., Geerts W.H., Sniderman K.W. Subcutaneous heparin versus low-molecular-weight heparin as thromboprophylaxis in patients undergoing colorectal surgery: results of the canadian colorectal DVT prophylaxis trial: a randomized, double-blind trial. Ann Surg 2001; 233: 3: 438-444.
Hills N.H., Pflug J.J., Jeyasingh K., Boardman L., Calnan J.S. Prevention of deep vein thrombosis by intermittent pneumatic compression of calf. Br Med J 1972; 1: 131-135.
Proctor M.C., Greenfield L.J., Wakefield T.W., Zajkowski P.J. A clinical comparison of pneumatic compression devices: the basis for selection. J Vasc Surg 2001; 34: 459-464.
Cotton L.T., Clark C. Symposium on thrombosis: anatomical localization of venous thrombosis. Ann R Coll Surg Engl 1965; 36: 214-224.
Nicolaides A.N., Kakkar V.V., Field E.S., Renney J.T. The origin of deep vein thrombosis: a venographic study. Br J Radiol 1971; 44: 525: 653-663.
Almen T., Nylander G. Serial phlebography of the normal lower leg during muscular contraction and relaxation. Acta Radiol 1962; 57: 264-272.
Doran F.S., Drury M., Sivyer A. A simple way to combat the venous stasis which occurs in the lower limbs during surgical operation. Br J Surg 1964; 51: 486-492.
Doran F.S., White H.M. A demonstration that the risk of postoperative deep venous thrombosis is reduced by stimulating the calf muscles electrically during the operation. Br J Surg 1967; 54: 686-690.
Browse N.L., Negus D. Prevention of postoperative leg vein thrombosis by electrical muscle stimulation:an evaluation with 125I-labelled fibrinogen. Br Med J 1970; 3: 615-618.
Doran F.S., White M., Drury M. A clinical trial designed to test the relative value of two simple methods of reducing the risk of venous stasis in the lower limbs during surgical operations, the danger of thrombosis, and a subsequent pulmonary embolus, with a survey of the problem. Br J Surg 1970; 57: 1: 20-30.
Nicolaides A.N., Kakkar V.V., Field E.S., Fish P. Optimal Electrical Stimulus for Prevention of Deep Vein, Thrombosis. Br Med J 1972; 3: 756-758.
Broderick B.J., O'Briain D.E., Breen P.P., Kearns S.R., Olaighin G. A pilot evaluation of a neuromuscular electrical stimulation (NMES) based methodology for the prevention of venous stasis during bed rest. Med Eng Phys 2010; 32: 4: 349-355.
Clarke M.M, Lyons G.M., Breen P., Burke P.E., Grace P.A. Haemodynamic study examining the response of venous blood flow to electrical stimulation of the gastrocnemius muscle in patients with chronic venous disease. Eur J Vasc Endovasc Surg 2006; 31: 300-305.
Lyons G.M., Leane G.E., Grace P.A. The effect of electrical stimulation of the calf muscle and compression stocking on venous blood flow velocity. Eur J Vasc Endovasc Surg 2002; 23: 6: 564-566.
Griffin M., Nicolaides A.N., Bond D., Geroulakos G., Kalodiki E. The efficacy of a new stimulation technology to increase venous flow and prevent venous stasis. Eur J Vasc Endovasc Surg 2010; 40: 6: 766-771.
Savel'ev V.S., Chazov E.I., Gusev E.I., Kirienko A.I. Rossiiskie klinicheskie rekomendatsii po diagnostike, lecheniyu i profilaktike venoznykh tromboembolicheskikh oslozhnenii. Flebologiya 2010; 1: 2: 5-6.
Verrel F., Steckmeier B., Parzhuber A., Rauh G., Tato F. Ascending varicose vein phlebitis - classification and therapy. Langenbecks Arch Chir Suppl Kongressbd 1998; 115: 1237-1239.
Faghri P.D., Van Meerdervort H.F., Glaser R.M., Figoni S.F. Electrical stimulation-induced contraction to reduce blood stasis during arthroplasty. EEE Trans Rehabil Eng 1997; 5: 1: 62-69.
Laverick M.D. ,McGivern R.C., Crone M.D., Mollan R.A.B. A comparison of the effects of electrical calf muscle stimulation and the venous foot pump on venous blood flow in the lower leg. Phlebology 1990; 5: 285-290.

Close metadata