title: Deep vein thrombosis/pulmonary embolism: prophylaxis, diagnosis, and management.
abstract: Thoracic surgery patients should be regarded at high risk for postoperative venous thromboembolism (VTE). VTE mechanical and pharmacologic prophylaxis with low molecular weight heparin, or low-dose unfractionated heparin or fondaparinux (Arixtra) is therefore strongly recommended. Pharmacologic prophylaxis should be extended to 4 weeks after major cancer surgery. Pulmonary embolism should be always managed with anticoagulation, in addition to thrombolytic therapy, in patients presenting with cardiogenic shock or persistent arterial hypotension.
authors: Section Minimally Invasive Thoracic Surgery, Division of Thoracic Surgery, Ospedali Riuniti Ancona, Via Conca 1, Ancona 60122, Italy. brunellialex@gmail.com
authors: Alessandro
authors: A
authors: Brunelli
mesh_terms: D000792:Angiography / Q000379:methods*; D019468:Disease Management; D006801:Humans; D009017:Morbidity; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D018570:Risk Assessment / Q000379:methods*; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014481:United States / Q000453:epidemiology; D020246:Venous Thrombosis / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control