Pulmonary Embolism Clinical Trial
Official title:
Incidence of Venous Thromboembolic Disease and Portal Vein Thrombosis After Hepatectomy in a High-volume Center. A Cohort Study.
Observational. Retrospective cohort.
Venous thromboembolism (VTE) is a disease that includes both deep vein thrombosis (DVT) and
pulmonary embolism (PE). It is a common, potentially lethal disorder that can occur among
postoperative patients. Liver surgery implies a prothrombotic state, as a result of an
alteration of the equilibrium between synthesis and use of pro and anti coagulant factors
after a parenquimal resection. The use of antithrombotic prophylaxis following surgery is not
standarized, and current practices vary depending on the attendant surgeon's particular
experience or hospital's customs and habits.
In published research, postoperative patients have been studied as a whole so far. There is
little evidence regarding patients undergoing hepatectomy. Furthermore, the use and need of
extended prophylaxis remains unexplored in this group of patients.
The objetives of the following study are:
- To estimate the incidence of symptomatic venous thromboembolism (VTE) [deep vein
thrombosis (DVT), pulmonary embolism (PE) and fatal PE] in a third level center in
patients undergoing any hepatectomy within 90 days after surgery.
- To estimate the incidence of portal thrombosis (PT) in a third level center in patients
undergoing any hepatectomy within 90 days after surgery.
- To identify and describe factors associated to the development of VTE in patients
following hepatectomy.
- To identify and describe factors associated to the development of PT in patients
following hepatectomy.
- To describe major bleedings or minor but clinically relevant bleedings during the period
in which those patients received chemical thromboprophylaxis.
;
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