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Khitaryan A.G.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Shatov D.V.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Orekhov A.A.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Vachilya T.P.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Miziev I.A.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Khatsiev B.B.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

A New Approach to Effective Prevention of Venous Thromboembolism in Bariatric Surgery: A Single-Center Experience

Authors:

Khitaryan A.G., Shatov D.V., Orekhov A.A., Vachilya T.P., Miziev I.A., Khatsiev B.B.

More about the authors

Journal: Journal of Venous Disorders. 2020;14(4): 287‑295

DOI: 10.17116/flebo202014041287

Read: 2970 times

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Table of contents

A NEW APPROACH TO EFFECTIVE PREVENTION OF VENOUS THROMBOEMBOLISM IN BARIATRIC SURGERY: A SINGLE-CENTER EXPERIENCE
A NEW APPROACH TO EFFECTIVE PREVENTION OF VENOUS THROMBOEMBOLISM IN BARIATRIC SURGERY: A SINGLE-CENTER EXPERIENCE

To cite this article:

Khitaryan AG, Shatov DV, Orekhov AA, Vachilya TP, Miziev IA, Khatsiev BB. A New Approach to Effective Prevention of Venous Thromboembolism in Bariatric Surgery: A Single-Center Experience. Journal of Venous Disorders. 2020;14(4):287‑295. (In Russ.)
https://doi.org/10.17116/flebo202014041287

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the significance of additional risk factors of venous thromboembolism (VTE) for optimizing the stratification of patients into low and high thrombotic risk groups and improving prevention of postoperative VTE in patients with obesity after bariatric surgeries.

MATERIAL AND METHODS

A retrospective cohort study included 119 patients after various bariatric surgeries. All patients were scored by Caprini scale and underwent ultrasound of lower limb veins before surgery and intraoperatively. D-dimer was analyzed in all patients in 1 and 3 days after surgery. We assess incidence of VTEC in postoperative period. Ultrasound of lower limb veins was carried out in 3 and 5 days after surgery to identify asymptomatic thrombosis. Subsequently, we identified additional VTE risk factors specific for bariatric patients, but not included into conventional Caprini scale.

RESULTS

Postoperative VTEC occurred in 5 (4.2%) cases. Asymptomatic deep vein thrombosis was observed in 4 patients (Caprini score <11). Body mass index increase by a kilogram, fat apron weight over 12 kg and D-dimer >1000 ng/ml are associated with increased risk of thrombosis by 1.1, 12.23 and 64 times, respectively.

CONCLUSION

Additional risk factors of VTE confirm the need to adapt the Caprini scale for bariatric patients. Stratification of bariatric patients into groups of low and high thrombotic risk in postoperative period should be carried out taking into account above-mentioned criteria.

Keywords:

bariatric surgery
venous thromboembolism
Caprini scale

Authors:

Khitaryan A.G.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Shatov D.V.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Orekhov A.A.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Vachilya T.P.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Miziev I.A.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Khatsiev B.B.

Road Clinical Hospital at the Rostov-Glavny Station of the Russian Railways JSC

Received:

06.05.2020

Accepted:

06.06.2020

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