[Incidence of lung embolism before and after thrombectomy of deep leg and pelvic vein thrombosis].
According to scintigraphic and pathological studies, pelvic and thigh venous thrombosis led to pulmonary embolism in 50-60% of all cases. After thrombectomy, an incidence of 1% is reported, when assessed only clinically. In 29 patients with acute pelvic or thigh venous thrombosis, perfusion scintigraphic lung scans were performed immediately before operation and on day 1 or day 2 postoperatively. In 7 patients (24.1%) preoperatively and 12 patients (41.4%) postoperatively, segmental perfusion defects indicating pulmonary embolism were demonstrated. Thus the incidence of pulmonary embolism according to thrombectomy is much higher than previously suspected.
Chirurgische, Ruhr-Universität Bochum, St. Josef-Hospital.
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von Liebe
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Kissler
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Zumtobel
D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011446:Prospective Studies; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012307:Risk Factors; D013924:Thrombophlebitis / Q000150:complications / Q000601:surgery*
Zur Häufigkeit von Lungenembolien vor und nach Thrombektomie tiefer Bein-Beckenvenenthrombosen.