Document Detail


D-dimer and thrombin-antithrombin III complex levels uncorrelated with phlebographic findings in 11 total knee replacement patients.
MedLine Citation:
PMID:  2193559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
D-dimer and thrombin-antithrombin III complex (TAT) were assayed in 11 patients at various times pre- and post-operatively in order to determine the possible value of these parameters in screening for thromboembolic complications. Phlebography revealed distal thrombosis in 6 of the 11 patients. The D-dimer level, already elevated before surgery, increased at day 1 and remained high at days 5 and 10. Two methods were used for the assays and showed strongly correlated results. The TAT level increased at day 1 and then progressively returned toward basal values. No difference was observed at any time between patients with or without thrombosis. The results in surgical patients undergoing knee replacement suggest that neither D-dimer nor TAT assays are valid screening procedures for post-operative DVT. Nevertheless, in view of the small number of patient studied, further work is required to confirm these results.
Authors:
D De Prost; V Ollivier; P Vie; R Benacerraf; J Duparc; A Khoury
Related Documents :
3937269 - Postoperative changes in the plasmatic levels of tissue-type plasminogen activator and ...
8807719 - Glycosaminoglycans: clinical use.
9042559 - Thromboprophylaxis with low molecular weight heparin after major orthopaedic surgery is...
2871419 - Pre-operative identification of patients at high risk of deep venous thrombosis after e...
2696649 - Surgical thrombectomy versus conservative treatment for deep venous thrombosis; functio...
16779509 - Morbidity and mortality associated with brachial vein thrombosis.
21990439 - Clinical predictors of delayed cerebral ischemia after subarachnoid hemorrhage: first e...
10374789 - Outcome analysis of minimally invasive treatments for benign prostatic hyperplasia.
20070549 - Reduction in pulmonary embolism after total joint arthroplasty: three years of experien...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annales de biologie clinique     Volume:  48     ISSN:  0003-3898     ISO Abbreviation:  Ann. Biol. Clin. (Paris)     Publication Date:  1990  
Date Detail:
Created Date:  1990-08-02     Completed Date:  1990-08-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984690R     Medline TA:  Ann Biol Clin (Paris)     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  235-8     Citation Subset:  IM    
Affiliation:
Service d'Hématologie et d'Immunologie Biologiques, Centre Hospitalo-Universitaire X. Bichat, Paris.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Antithrombin III / analysis*
Biological Markers
Female
Fibrin Fibrinogen Degradation Products / analysis*
Humans
Knee Prosthesis* / adverse effects
Male
Middle Aged
Peptide Hydrolases / analysis*
Phlebography
Postoperative Period
Reagent Kits, Diagnostic
Thrombophlebitis / prevention & control
Time Factors
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Fibrin Fibrinogen Degradation Products; 0/Reagent Kits, Diagnostic; 0/antithrombin III-protease complex; 0/fibrin fragment D; 9000-94-6/Antithrombin III; EC 3.4.-/Peptide Hydrolases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Bronchoscopy in ventilated patients: full narcosis or local anesthesia?
Next Document:  Adenosine for paroxysmal supraventricular tachycardia: dose ranging and comparison with verapamil. A...