The effect of intraoperative heparin administered during total hip arthroplasty on the incidence of proximal deep vein thrombosis assessed by magnetic resonance venography. Academic Article uri icon

Overview

abstract

  • Intraoperative, unfractionated heparin, administered intravenously before the femoral work, has demonstrated to be effective in reducing the strong thrombotic stimulus that occurs during total hip arthroplasty (THA) surgery. This randomized, double-blind, prospective study included only THA patients with significant comorbidities predisposing them to deep vein thrombosis (DVT). The 2 groups consisted of study patients who received a single dose of intravenous, intraoperative, unfractionated heparin and control patients who received a single dose of intravenous, intraoperative saline. Magnetic resonance venography was used as the DVT diagnostic tool. The overall prevalence of proximal femoral vein clots was 2.2% (3 of 134), whereas pelvic thrombosis was detected in 10.4% (14 of 134). This study demonstrated that pelvic thrombi may form following THA and that a single dose of intraoperative heparin does not prevent their formation, but may be effective at preventing ipsilateral femoral thrombi. This study strongly supports a multimodal approach to DVT prophylaxis following THA.

publication date

  • January 1, 2005

Research

keywords

  • Anticoagulants
  • Arthroplasty, Replacement, Hip
  • Heparin
  • Magnetic Resonance Imaging
  • Venous Thrombosis

Identity

Scopus Document Identifier

  • 12344317782

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2004.03.022

PubMed ID

  • 15660059

Additional Document Info

volume

  • 20

issue

  • 1