Epidemiology of venous thromboembolias among the high risk surgical patients and the role of sural sinus in initiation of thrombus formation

Laberko L.A.

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

Rodoman G.V.

State clinical hospital №24, Moscow city health department

Barinov V.E.

klinika MEDSI "Amerikanskiĭ meditsinskiĭ tsentr", Moskva

Lobastov K.V.

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

ORCID: 0000-0002-5358-7218

Epidemiology of venous thromboembolias among the high risk surgical patients and the role of sural sinus in initiation of thrombus formation

Authors:

Laberko L.A., Rodoman G.V., Barinov V.E., Lobastov K.V.

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Journal: Pirogov Russian Journal of Surgery. 2013;(6): 38‑43

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To cite this article:

Laberko LA, Rodoman GV, Barinov VE, Lobastov KV. Epidemiology of venous thromboembolias among the high risk surgical patients and the role of sural sinus in initiation of thrombus formation. Pirogov Russian Journal of Surgery. 2013;(6):38‑43. (In Russ.)

Подписка 2025 (Pirogov Russian Journal of Surgery)

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The prospective study of postoperative venous thromboembolism after standard prophylactic measures among high risk patients was performed. The ultrasound lower limb veins investigation registered postoperative venous thrombosis in 32.7% of these patients, the proximal thrombosis was in 9.1%. Half of the cases demonstrated the isolated sural sinus thrombus and the overall sural sinus involvement was 83.3%. 50% of all thromboses were diagnosed within the first week after the operation. 86.1% of all cases were registered within 2 weeks after the surgery. Terms of anticoagulative drugs prescription showed no influence on the thrombosis incidence aming the researched patients. The study demonstrated the high true incidence of postoperative venous thromboembolism after standard prophylactic measures among high risk patients and the leading role of the sural sinus in its initiation.

Keywords:

venous thromboembolia

sural sinus