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The Comparison of Aspirin and Direct Oral Anticoagulant as Thromboprophylaxis Following Total Knee Replacement: A Retrospective Study.
Rev Bras Ortop (Sao Paulo)
December 2024
Departamento de Cirurgia Ortopédica, St. Carolus Hospital, Jakarta, Indonésia.
Venous thromboembolism (VTE) is still a major challenge after major orthopaedic surgery, including total knee replacement (TKR). The aim of this study was to estimate the risk of VTE with aspirin-only pharmacologic prophylaxis following primary TKR surgery versus direct oral anticoagulant (DOAC). The study included 476 patients who underwent primary TKR from 2016 to 2020.
View Article and Find Full Text PDFLow-versus high-dose aspirin for venous thromboembolic prophylaxis after total joint arthroplasty: a systematic review and meta-analysis.
J Orthop Surg Res
December 2024
Surgical Research Society (SRS), Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Background: The adverse effects of aspirin are dose-dependent, and there is controversy surrounding the use of low-dose (LD) aspirin to prevent venous thromboembolism (VTE) following total joint arthroplasty (TJA). This meta-analysis sought to compare the efficacy and complication rate of low-dose (162 mg per day) versus high-dose (HD, 650 mg per day) aspirin after TJA surgery.
Methods: In four main databases, we searched from inception until September 2024 for articles comparing the rate of VTE following TJA(TKA/THA) using only aspirin chemoprophylaxis with different dosages.
Atrial Fibrillation: A Review.
JAMA
December 2024
Section of Cardiovascular Medicine, Department of Medicine, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
Importance: In the US, approximately 10.55 million adults have atrial fibrillation (AF). AF is associated with significantly increased risk of stroke, heart failure, myocardial infarction, dementia, chronic kidney disease, and mortality.
View Article and Find Full Text PDFCurrent trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study.
J Hip Preserv Surg
July 2024
American Hip Institute Research Foundation, 999 E Touhy Ave, Chicago, IL 60018, USA.
Article Synopsis
- * A study surveyed 35 experienced hip surgeons, revealing that 91.4% use chemoprophylaxis, primarily aspirin, with varying durations suggested, mostly between 2 to 4 weeks post-surgery.
- * While most experts agree on the importance of VTE prophylaxis, there is no consensus on the best duration for treatment or recommendations regarding stopping oral contraceptives and smoking before the surgery.
Deep vein thrombosis prophylaxis in patients who undergo knee arthroscopy: a systematic review.
Knee Surg Relat Res
December 2024
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S First Avenue, Maguire Building, Suite 1700, Maywood, IL, 60153, USA.
Background: Knee arthroscopy is one of the most common procedures performed by orthopedic surgeons. A potentially life-threatening complication following this procedure is deep vein thrombosis (DVT). DVT prophylaxis can be obtained both mechanically (e.
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