Document Detail


Randomized comparison of aspirin and phenprocoumon for prevention of right-sided thromboembolic complications associated with transvenous defibrillation leads.
MedLine Citation:
PMID:  7498216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Death due to pulmonary embolism caused by thrombosis formation along a pacing wire has been reported in patients with antibradycardia pacemakers. The purpose of this prospective and randomized study was to evaluate the effects of prophylactically assigned aspirin (100 mg per day) or phenprocoumon (a coumarin derivative) on the incidence of right-sided thromboembolic complications associated with transvenous defibrillation leads. Multiplane transoesophageal echocardiography and pulmonary scintigraphy were performed in 62 consecutive patients immediately and 6 +/- 2 months after transvenous defibrillator implantation. Aspirin or phenprocoumon was administered to the patients in a randomized and parallel manner. By means of multiplane transoesophageal echocardiography and pulmonary scintigraphy no thromboembolic events were observed immediately after transvenous defibrillator implantation. After 6 +/- 2 months, however, multiplane transoesophageal echocardiography disclosed thrombi on the transvenous leads in 13 of 62 patients (21%) despite antithrombotic therapy. At the same time, pulmonary scintigraphy did not reveal any defects compatible with pulmonary embolism. Although thrombi occurred in only four patients treated with phenprocoumon, but in nine patients receiving aspirin, this difference was statistically insignificant. Other variables associated with the occurrence of thrombosis formation were not identified. One fatal intracranial haemorrhage occurred in the phenprocoumon group.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
W Jung; W Fehske; M Manz; A Hagendorff; H Omran; H J Biersack; B Lüderitz
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European heart journal     Volume:  16     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1996-01-17     Completed Date:  1996-01-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  986-92     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University of Bonn, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aspirin / administration & dosage*,  adverse effects
Blood Coagulation Tests
Cerebral Hemorrhage / blood,  chemically induced
Defibrillators, Implantable*
Dose-Response Relationship, Drug
Drug Administration Schedule
Echocardiography
Electrodes, Implanted
Equipment Failure
Female
Follow-Up Studies
Humans
Male
Middle Aged
Phenprocoumon / administration & dosage*,  adverse effects
Prospective Studies
Thromboembolism / blood,  prevention & control*,  ultrasonography
Chemical
Reg. No./Substance:
435-97-2/Phenprocoumon; 50-78-2/Aspirin

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


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