TY - JOUR
T1 - Deep vein thrombosis prevention in joint arthroplasties
T2 - Continuous enhanced circulation therapy vs low molecular weight heparin
AU - Gelfer, Yael
AU - Tavor, Hovav
AU - Oron, Amir
AU - Peer, Amir
AU - Halperin, Nahum
AU - Robinson, Dror
PY - 2006/2
Y1 - 2006/2
N2 - Deep vein thrombosis prevention efficacy using a new, miniature, mobile, battery-operated pneumatic system (continuous enhanced circulation therapy [CECT] system) combined with low-dose aspirin was compared to enoxaparin. One hundred twenty-one patients who underwent total hip or knee arthroplasty were prospectively randomized into 2 groups. The study group was treated by the CECT system starting immediately after the induction of anesthesia. Postoperatively, a daily 100-mg aspirin tablet was added. The control group received 40 mg of enoxaparin per day. Bilateral venography was performed at the fifth to eight postoperative day. In the CECT group, as compared to the enoxaparin group, there was a significantly lower overall rate of DVT and proximal DVT. Safety profiles were similar in both groups. The combination of the CECT device with low-dose aspirin is more effective than enoxaparin in preventing deep-vein thrombosis after lower limb arthroplasties.
AB - Deep vein thrombosis prevention efficacy using a new, miniature, mobile, battery-operated pneumatic system (continuous enhanced circulation therapy [CECT] system) combined with low-dose aspirin was compared to enoxaparin. One hundred twenty-one patients who underwent total hip or knee arthroplasty were prospectively randomized into 2 groups. The study group was treated by the CECT system starting immediately after the induction of anesthesia. Postoperatively, a daily 100-mg aspirin tablet was added. The control group received 40 mg of enoxaparin per day. Bilateral venography was performed at the fifth to eight postoperative day. In the CECT group, as compared to the enoxaparin group, there was a significantly lower overall rate of DVT and proximal DVT. Safety profiles were similar in both groups. The combination of the CECT device with low-dose aspirin is more effective than enoxaparin in preventing deep-vein thrombosis after lower limb arthroplasties.
KW - Arthroplasty
KW - Aspirin
KW - Compliance
KW - Continuous enhanced circulation therapy
KW - Deep vein thrombosis
KW - Intermittent pneumatic compression
KW - Low molecular weight heparin
KW - Total hip arthroplasty
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=33644782710&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2005.04.031
DO - 10.1016/j.arth.2005.04.031
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:33644782710
SN - 0883-5403
VL - 21
SP - 206
EP - 214
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 2
ER -
