title: [Prevention of deep venous thrombosis of the leg by a very low molecular weight heparin fraction (CY 222) in patients with hemiplegia following cerebral infarction: a randomized pilot study (30 patients)].
abstract: The effectiveness and safety of a very low molecular weight heparin fraction were evaluated in the prevention of deep-vein thrombosis in patients confined to bed due to hemiplegia consecutive to a recent cerebral infarction. CY 222 was administered within 48 hours of the stroke by one single daily subcutaneous injection of 0.6 ml (= 15,000 U AXa IC) during 14 days. This randomized pilot study involved 30 patients. The effects of CY 222 were assessed in a group of 15 patients compared with a control group of 15 untreated patients. No deep-vein thrombosis was detected by the labelled fibrinogen test in the treated group, as against 12 patients in the control group. Six patients (3 in each group) died during the study. One case of lethal pulmonary embolism was observed and confirmed at autopsy in the control group. In the remaining 5 patients, no systematic autopsy which would have asserted the absence of pulmonary embolism or drug-induced haemorrhage was performed. Numerous standard laboratory tests confirmed that CY 222 was well tolerated.
authors.affiliation: Service de cardiologie, CHU Timone, Marseille.
authors.forename: A
authors.initials: A
authors.lastname: Elias
authors.forename: L
authors.initials: L
authors.lastname: Milandre
authors.forename: G
authors.initials: G
authors.lastname: Lagrange
authors.forename: M F
authors.initials: MF
authors.lastname: Aillaud
authors.forename: B
authors.initials: B
authors.lastname: Alonzo
authors.forename: F
authors.initials: F
authors.lastname: Toulemonde
authors.forename: I
authors.initials: I
authors.lastname: Juhan-Vague
authors.forename: R
authors.initials: R
authors.lastname: Khalil
authors.forename: B
authors.initials: B
authors.lastname: Bayrou
authors.forename: A
authors.initials: A
authors.lastname: Serradimigni
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000150:complications*; D005260:Female; D006429:Hemiplegia / Q000209:etiology*; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D016032:Randomized Controlled Trials as Topic; D013924:Thrombophlebitis / Q000517:prevention & control*
chemical_list: D006495:Heparin, Low-Molecular-Weight
vernacular_title: Prévention des thromboses veineuses profondes des membres inférieurs par une fraction d'héparine de très bas poids moléculaire (CY 222) chez des patients porteurs d'une hémiplégie secondaire à un infarctus cérébral: étude pilote randomisée (30 patients).