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Abstract
In a prospective study, thrombosis of the femoral or popliteal veins was discovered
at operation in nine of eighty-one patients requiring amputation of a lower extremity
for arterial insufficiency. One week postoperatively, all nine patients had evidence
of pulmonary embolism on the lung scan. Embolization was documented by arteriography
in two patients and at autopsy in a third patient. In none of these patients was there
clinical evidence of venous thrombosis prior to operation.
Two of the subjects with proved thrombosis died during study, a mortality of 22 per
cent, whereas the mortality for the entire group was 10 per cent.
It is concluded that the deep venous system of patients requiring amputation for ischemia
should be examined carefully at operation. These patients have a high incidence of
deep venous thrombosis and the discovery of thrombus at the time of operation places
them in a particularly high risk group.
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References
- Venous thrombosis and pulmonary embolism: a clinical pathologic study in injured and burned patients.Br J Surg. 1961; 48: 475
- Venous thrombosis of the lower limbs with particular reference to bed rest.Br J Surg. 1957; 45: 15
- Venous Thrombosis and Pulmonary Embolism.in: Harvard University Press, Cambridge1970: 206
- Venous thrombosis in hospital patients. A postmortem study.Scot Med J. 1963; 8: 11
- Safe use of l125 fibrinogen.Lancet. 1973; 2: 931
- Small doses of subcutaneous sodium heparin in preventing deep venous thrombosis after major surgery.Lancet. 1972; 2: 890
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© 1975 Published by Elsevier Inc.
