[Detection of venous thrombosis of the legs by the iodine 125-labeled fibrinogen test in thoracic surgery. Apropos of 140 surgically-treated cases].
The tracing of venous thromboses of the lower limbs by means of iodine 125 marked fibrinogen is possible in thoracic surgery thanks to the calibration of the apparatus on the femoral surface in cases of left thoracotomy or sternotomy. Twelve patients out of 128, i.c. 9.4%, had a positive test: 11 men and 1 woman of whom 11 had a minimum of 2 risk factors of venous thrombosis. These patients had 7 right and 5 left thoracotomies: 6 pneumonectomies (15.4% of pneumonectomies), 5 lobectomies (13% of lobectomies) and one enucleation; 11 positive tests occurred on patients operated on for cancer. There were 5 thrombo-embolic accidents: 2 fatal and 2 non fatal. Mortality was 4.28%: 6 patients of whom 3 died of infectious causes and 3 of pulmonary embolism: 2 after a pneumonectomy, respectively at 2 days and 2 months, and 1 after a lobectomy at 5 days. This examination was useful to known our percentage of isotopic thrombosis of the lower limb after thoracotomy: 9.4% which is small compared with those of the literature. However these results show the importance of instituting more prophylactic procedures to prevent venous thrombosis and thromboembolism by using heparin in all patients operated an for cancer with an exeresis and presenting 2 or more risk factors of venous thrombosis.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005340:Fibrinogen; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011184:Postoperative Period; D011877:Radionuclide Imaging; D012306:Risk; D013903:Thoracic Surgery / Q000009:adverse effects*; D013923:Thromboembolism / Q000517:prevention & control; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000209:etiology
D007457:Iodine Radioisotopes; D005340:Fibrinogen; D006493:Heparin
Le dépistage des thromboses veineuses des membres inférieurs par le test au fibrinogène marqué à l'iode 125 dans la chirurgie du thorax. A propos de 140 opérés.