Venous Thromboembolism-Incidence of Deep Venous Thrombosis and Pulmonary Embolism in Patients with Head and Neck Cancer: A Tertiary Care Experience in Pakistan
AUTOR(ES)
Ali, Naeem Sultan, Nawaz, Ahmad, Junaid, Montasir, Kazi, Maliha, Akhtar, Shabbir
FONTE
Int. Arch. Otorhinolaryngol.
DATA DE PUBLICAÇÃO
2015
RESUMO
Although venous thromboembolism (VTE) is seen with morbidity and mortality in various surgical specialties, scarce data are available in the head and neck surgery domain. We aim to determine the incidence of VTE in patients receiving surgery for head and neck cancer. Four hundred thirteen patients who underwent head and neck surgery procedures between 2005 and 2013 were reviewed retrospectively. All patients with head and neck surgery had received thromboprophylaxis (i.e., compression stockings and subcutaneous heparin). Patient demographics, operating time, and length of hospital stay were analyzed. The incidence of symptomatic deep venous thrombosis (DVT) and pulmonary embolism (PE) during the initial postoperative hospitalization was assessed. Twelve patients were identified who developed VTE. Three patients developed DVT, and nine developed PE. The incidence of DVT and PE was 0.72 and 2.17%, respectively. Interestingly, all of these patients had undergone excision of extensive head and neck cancers accompanied by a reconstructive procedure. Patients who developed PE had a longer hospital stay compared with those who only had DVT. There were overall three mortalities in the nine patients who developed PE. Although VTE has a low incidence, it is a known complication of extensive head and neck surgeries with life-threatening outcomes. We recommend early mobilization and physiotherapy with the possible aid from appropriate mechanical and pharmacologic thromboprophylaxis.
Documentos Relacionados
- Pulmonary embolism and deep venous thrombosis
- Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients having surgery: summary of NICE guidance
- Venous Thrombosis and Pulmonary Embolism
- PREVENTION OF DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM
- Protected Iliofemoral Venous Thrombectomy: in a Pregnant Woman with Pulmonary Embolism and Ischemic Venous Thrombosis