Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty
The aim of the study was to investigate if preoperative blood flow velocity in femoral vein in different positions of the hip during total hip arthroplasty (THA) is a predictor of postoperative deep vein thrombosis (DVT). In patients undergoing THA, blood flow velocity and diameter of proximal femor...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2020-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/360037 |
| _version_ | 1827282346450092032 |
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| author | Amel Hadžimehmedagić Bekir Rovčanin Haris Vranić Muhamed Djedović Slavenka Štraus Tarik Selimović |
| author_facet | Amel Hadžimehmedagić Bekir Rovčanin Haris Vranić Muhamed Djedović Slavenka Štraus Tarik Selimović |
| author_sort | Amel Hadžimehmedagić |
| collection | DOAJ |
| description | The aim of the study was to investigate if preoperative blood flow velocity in femoral vein in different positions of the hip during total hip arthroplasty (THA) is a predictor of postoperative deep vein thrombosis (DVT). In patients undergoing THA, blood flow velocity and diameter of proximal femoral vein on THA side were measured preoperatively in four flexion positions of the hip. After THA, patients were followed up for 42 days for DVT occurrence, and clinical features of patients with and without postoperative DVT were compared. The mean blood flow velocity in maximal flexion (90º+) preoperatively was significantly lower in patients with postoperative DVT (19/103) compared to patients without it (8.4±2 cm/s vs. 10.6±2.3 cm/s; p<0.001). Using the
receiver operating characteristic curve analysis, the cut-off value for blood flow velocity during maximal flexion was 8.24 cm/s. In addition, anesthesia duration, duration of surgical position of the patient, body mass index, amount of blood transfused after surgery, and clinical signs of DVT were markedly different between patients with and those without postoperative DVT. Blood flow velocity in femoral vein in maximal flexion of the hip (90º+) measured prior to THA is an independent predictor of postoperative DVT. |
| first_indexed | 2024-04-24T09:16:36Z |
| format | Article |
| id | doaj.art-01e0b98de0b24798a202a903b33b78de |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:16:36Z |
| publishDate | 2020-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-01e0b98de0b24798a202a903b33b78de2024-04-15T16:35:28ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512020-01-0159.3.41642310.20471/acc.2020.59.03.04Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip ArthroplastyAmel Hadžimehmedagić0Bekir Rovčanin1Haris Vranić2Muhamed Djedović3Slavenka Štraus4Tarik Selimović5Department of Vascular Surgery, Sarajevo University Clinical Centre, Sarajevo, Bosnia and HerzegovinaPublic Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaDepartment of Vascular Surgery, Sarajevo University Clinical Centre, Sarajevo, Bosnia and HerzegovinaDepartment of Vascular Surgery, Sarajevo University Clinical Centre, Sarajevo, Bosnia and HerzegovinaDepartment of Anesthesiology, Sarajevo University Clinical Centre, Sarajevo, Bosnia and HerzegovinaPublic Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaThe aim of the study was to investigate if preoperative blood flow velocity in femoral vein in different positions of the hip during total hip arthroplasty (THA) is a predictor of postoperative deep vein thrombosis (DVT). In patients undergoing THA, blood flow velocity and diameter of proximal femoral vein on THA side were measured preoperatively in four flexion positions of the hip. After THA, patients were followed up for 42 days for DVT occurrence, and clinical features of patients with and without postoperative DVT were compared. The mean blood flow velocity in maximal flexion (90º+) preoperatively was significantly lower in patients with postoperative DVT (19/103) compared to patients without it (8.4±2 cm/s vs. 10.6±2.3 cm/s; p<0.001). Using the receiver operating characteristic curve analysis, the cut-off value for blood flow velocity during maximal flexion was 8.24 cm/s. In addition, anesthesia duration, duration of surgical position of the patient, body mass index, amount of blood transfused after surgery, and clinical signs of DVT were markedly different between patients with and those without postoperative DVT. Blood flow velocity in femoral vein in maximal flexion of the hip (90º+) measured prior to THA is an independent predictor of postoperative DVT.https://hrcak.srce.hr/file/360037Total hip arthroplastyDeep vein thrombosisBlood flow velocityFemoral veinMaximal flexion |
| spellingShingle | Amel Hadžimehmedagić Bekir Rovčanin Haris Vranić Muhamed Djedović Slavenka Štraus Tarik Selimović Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty Acta Clinica Croatica Total hip arthroplasty Deep vein thrombosis Blood flow velocity Femoral vein Maximal flexion |
| title | Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty |
| title_full | Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty |
| title_fullStr | Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty |
| title_full_unstemmed | Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty |
| title_short | Preoperative Femoral Vein Velocity in Maximal Flexion Is a Predictor of Deep Vein Thrombosis in Patients Undergoing Total Hip Arthroplasty |
| title_sort | preoperative femoral vein velocity in maximal flexion is a predictor of deep vein thrombosis in patients undergoing total hip arthroplasty |
| topic | Total hip arthroplasty Deep vein thrombosis Blood flow velocity Femoral vein Maximal flexion |
| url | https://hrcak.srce.hr/file/360037 |
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