Prevention of thromboembolic complications in otorhinolaryngological surgery

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The article reviews current clinical guidelines and recent publications on the perioperative prophylaxis of venous thromboembolism (VTE) in ENT-HNS patients. The literature review is descriptive and includes foreign sources and national guidelines on diagnosis, treatment, and prevention of VTE. The average risk of VTE in otorhinolaryngology — head and neck surgery is lower than in the other surgical specialties, not reaching 1% in total. Major oncologic head and neck surgery carries higher risk of VTE. When prescribing anticoagulants after ENT-HNS surgery, one should predict and compare the risk of postoperative bleeding with the risk of VTE.

Keywords:

otorhinolaryngology

surgery

VTEC

thromboembolic complications

anticoagulants

prevention

Authors:

Varvyanskaya A.V.

Multidisciplinary Surgery First Clinic

Lopatin A.S.

Polyclinic No.1 President’s Affairs Management of the Russian Federation

Received:

19.04.2020

Accepted:

24.11.2020

List of references:

Rossiiskie klinicheskie rekomendacii po diagnostike, lecheniju i profilaktike venoznih tromboembolicheskih oslojnenij (VTEO). Flebologija. 2015;4:2. (In Russ.).
Kreutzer L, Minami C, Yang A. JAMA patient page: preventing venous thromboembolism after surgery. JAMA. 2016;315:2136. https://doi.org/10.1001/jama.2016.1457
Wendelboe AM, Raskob GE. Global burden of thrombosis: epidemiologic aspects. Circ Res. 2016;118:13401347. https://doi.org/10.1161/CIRCRESAHA.115.306841
Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P, Bengel F, Brady AJ, Ferreira D, Janssens U, Klepetko W, Mayer E, Remy-Jardin M, Bassand JP. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J. 2008;29:2276-2315. https://doi.org/10.1093/eurheartj/ehn310
Klok FA, van der Hulle T, den Exter PL, Lankeit M, Huisman MV, Konstantinides S. The post-PE syndrome: a new concept for chronic complications of pulmonary embolism. Blood Rev. 2014;28:221-226. https://doi.org/10.1016/j.blre.2014.07.003
Kahn SR, Comerota AJ, Cushman M, et al; American Heart Association Council on Peripheral Vascular Disease, Council on Clinical Cardiology, and Council on Cardiovascular and Stroke Nursing. The postthrombotic syndrome AND evidence-based prevention, diagnosis, and treatment strategies: a scientific statement from the American Heart Association. Circulation. 2014;130(18):1636-1661. https://doi.org/10.1161/CIR.0000000000000130
Gould MK, Garcia DA, Wren SM, Karanicolas PJ, Arcelus JI, Heit JA, Samama CM. Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:227-277. https://doi.org/10.1378/chest.11-2297
Cramer JD, Shuman AG, Brenner MJ. Antithrombotic Therapy for Venous Thromboembolism and Prevention of Thrombosis in Otolaryngology—Head and Neck Surgery: State of the Art. February 2018. Otolaryngology Head and Neck Surgery. 2018;158(4):627-636. https://doi.org/10.1177/0194599818756599
Kakei Y, Akashi M, Hasegawa T, Minamikawa T, Usami S, Komori T. Incidence of venous thromboembolism after oral oncologic surgery with simultaneous reconstruction. J Oral Maxillofac Surg. 2016;74:212-217. https://doi.org/10.1016/j.joms.2015.08.006
Clayburgh DR, Stott W, Cordiero T, Park R, Detwiller K, Buniel M, Flint P, Schindler J, Andersen P, Wax MK, Gross N. Prospective study of venous thromboembolism in patients with head and neck cancer after surgery. JAMA Otolaryngol Head Neck Surg. 2013;139:1143-1150. https://doi.org/10.1001/jamaoto.2013.4911
Gavriel H, Thompson E, Kleid S, Chan S, Sizeland A. Safety of thromboprophylaxis after oncologic head and neck surgery: study of 1018 patients. Head Neck. 2013;35:1410-1414. https://doi.org/10.1002/hed.23158
Moubayed SP, Akdagli S, Most SP. Incidence of venous thromboembolism in rhinoplasty. Aesthetic Surgery Journal. 2017;37(3):34-35. https://doi.org/10.1093/asj/sjw252
Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F. Clinical assessment of venous thromboembolic risk in surgical patients. Semin Thromb Hemost. 1991;17(suppl 3):304-312.
Caprini JA. Thrombotic Risk Assessment: A Hybrid Approach [Electronic resource]. https://www.venousdisease.com/Publications/J.A.%20Caprini-Hybrid%20Approach%203-10-05.pdf
Lobastov KV, Barinov VE, Schastlivcev IV, Laberko LA. Shkala Caprini kak instrument dlya individualnoj stratifikacii riska razvitija posleoperacionnih venoznih tromboembolij v gruppe visokogo riska. Chirurgija. Zhurnal im. N.I. Pirogova. 2014;12:16-23. (In Russ.).
Shuman AG, Hu HM, Pannucci CJ, Jackson CR, Bradford CR, Bahl V. Stratifying the risk of venous thromboembolism in otolaryngology. Otolaryngol Head Neck Surg. 2012;146:5:719-724. https://doi.org/10.1177/0194599811434383
Song Y, Alyono JC, Ali NE, Blevins NH. Postoperative Venous Thromboembolism after Extracranial Otologic Surgery. Otolaryngology — Head and Neck Surgery. 2019;161(1):144-149. https://doi.org/10.1177%2F0194599819835743
Hsueh WD, Hwang PH, Abuzeid WM. Perioperative Management of Antithrombotic Therapy in Common Otolaryngologic Surgical Procedures: State of the Art Review. Otolaryngology — Head and Neck Surgery. 2015;153(4):493-503. https://doi.org/10.1177/0194599815600409
Ho KM, Tan JA. Stratified meta-analysis of intermittent pneumatic compression of the lower limbs to prevent venous thromboembolism in hospitalized patients. Circulation. 2013;128:1003-1020. https://doi.org/10.1161/CIRCULATIONAHA.113.002690
Pannucci CJ, MacDonald JK, Ariyan S, Gutowski KA, Kerrigan CL, Kim JY, Chung KC. Benefits and risks of prophylaxis for deep venous thrombosis and pulmonary embolus in plastic surgery: a systematic review and metaanalysis of controlled trials and consensus conference. Plast Reconstr Surg. 2016;137:709-773. https://doi.org/10.1097/01.prs.0000475790.54231.28
Bahl V, Shuman AG, Hu HM, Jackson CR, Pannucci CJ, Alaniz C, Chepeha DB, Bradford CR. Chemoprophylaxis for venous thromboembolism in otolaryngology. JAMA Otolaryngol Head Neck Surg. 2014;140:999-1005. https://doi.org/10.1001/jamaoto.2014.2254

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