Pulmonary embolism associated with surgically proved deep venous thrombosis
In a prospective study, thrombosis of the femoral or popliteal veins was discovered at operation in nine of eighty-one patients requiring amputation of a lower extremity for arterial insufficiency. One week postoperatively, all nine patients had evidence of pulmonary embolism on the lung scan. Embol...
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| Veröffentlicht in: | Am. J. Surg.; (United States) 1975-05, Vol.129 (5), p.500-502 |
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| creator | Williams, James W. Britt, Louis G. Sherman, Roger T. |
| description | In a prospective study, thrombosis of the femoral or popliteal veins was discovered at operation in nine of eighty-one patients requiring amputation of a lower extremity for arterial insufficiency. One week postoperatively, all nine patients had evidence of pulmonary embolism on the lung scan. Embolization was documented by arteriography in two patients and at autopsy in a third patient. In none of these patients was there clinical evidence of venous thrombosis prior to operation.
Two of the subjects with proved thrombosis died during study, a mortality of 22 per cent, whereas the mortality for the entire group was 10 per cent.
It is concluded that the deep venous system of patients requiring amputation for ischemia should be examined carefully at operation. These patients have a high incidence of deep venous thrombosis and the discovery of thrombus at the time of operation places them in a particularly high risk group. |
| doi_str_mv | 10.1016/0002-9610(75)90304-9 |
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Two of the subjects with proved thrombosis died during study, a mortality of 22 per cent, whereas the mortality for the entire group was 10 per cent.
It is concluded that the deep venous system of patients requiring amputation for ischemia should be examined carefully at operation. These patients have a high incidence of deep venous thrombosis and the discovery of thrombus at the time of operation places them in a particularly high risk group.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(75)90304-9</identifier><identifier>PMID: 1130588</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics ; Adult ; Aged ; ALBUMINS ; Amputation ; BETA DECAY RADIOISOTOPES ; BETA-MINUS DECAY RADIOISOTOPES ; BLOOD VESSELS ; BODY ; CARDIOVASCULAR DISEASES ; CARDIOVASCULAR SYSTEM ; COUNTING TECHNIQUES ; DAYS LIVING RADIOISOTOPES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; DISEASES ; EMBOLI ; Female ; Femoral Vein ; Humans ; INTERMEDIATE MASS NUCLEI ; IODINE 131 ; IODINE ISOTOPES ; Ischemia - surgery ; ISOTOPES ; Leg - blood supply ; Leg - surgery ; Lung ; LUNGS ; Male ; Middle Aged ; NUCLEI ; ODD-EVEN NUCLEI ; ORGANIC COMPOUNDS ; ORGANS ; PATIENTS ; Popliteal Vein ; Prospective Studies ; PROTEINS ; Pulmonary Embolism - diagnosis ; Pulmonary Embolism - etiology ; Pulmonary Embolism - mortality ; RADIOISOTOPE SCANNING ; RADIOISOTOPES ; RADIOLOGY AND NUCLEAR MEDICINE ; Radionuclide Imaging ; RESPIRATORY SYSTEM ; SCINTISCANNING ; Thrombophlebitis - complications ; THROMBOSIS ; VEINS</subject><ispartof>Am. J. Surg.; (United States), 1975-05, Vol.129 (5), p.500-502</ispartof><rights>1975</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-251ef379b2e77b8bba1d4f3188ed6ead1efe8f8a25e3fc3515e1fb0ac05305033</citedby><cites>FETCH-LOGICAL-c384t-251ef379b2e77b8bba1d4f3188ed6ead1efe8f8a25e3fc3515e1fb0ac05305033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9610(75)90304-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1130588$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/7224280$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, James W.</creatorcontrib><creatorcontrib>Britt, Louis G.</creatorcontrib><creatorcontrib>Sherman, Roger T.</creatorcontrib><creatorcontrib>City of Memphis Hospitals</creatorcontrib><title>Pulmonary embolism associated with surgically proved deep venous thrombosis</title><title>Am. J. Surg.; (United States)</title><addtitle>Am J Surg</addtitle><description>In a prospective study, thrombosis of the femoral or popliteal veins was discovered at operation in nine of eighty-one patients requiring amputation of a lower extremity for arterial insufficiency. One week postoperatively, all nine patients had evidence of pulmonary embolism on the lung scan. Embolization was documented by arteriography in two patients and at autopsy in a third patient. In none of these patients was there clinical evidence of venous thrombosis prior to operation.
Two of the subjects with proved thrombosis died during study, a mortality of 22 per cent, whereas the mortality for the entire group was 10 per cent.
It is concluded that the deep venous system of patients requiring amputation for ischemia should be examined carefully at operation. These patients have a high incidence of deep venous thrombosis and the discovery of thrombus at the time of operation places them in a particularly high risk group.</description><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics</subject><subject>Adult</subject><subject>Aged</subject><subject>ALBUMINS</subject><subject>Amputation</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-MINUS DECAY RADIOISOTOPES</subject><subject>BLOOD VESSELS</subject><subject>BODY</subject><subject>CARDIOVASCULAR DISEASES</subject><subject>CARDIOVASCULAR SYSTEM</subject><subject>COUNTING TECHNIQUES</subject><subject>DAYS LIVING RADIOISOTOPES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DISEASES</subject><subject>EMBOLI</subject><subject>Female</subject><subject>Femoral Vein</subject><subject>Humans</subject><subject>INTERMEDIATE MASS NUCLEI</subject><subject>IODINE 131</subject><subject>IODINE ISOTOPES</subject><subject>Ischemia - surgery</subject><subject>ISOTOPES</subject><subject>Leg - blood supply</subject><subject>Leg - surgery</subject><subject>Lung</subject><subject>LUNGS</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NUCLEI</subject><subject>ODD-EVEN NUCLEI</subject><subject>ORGANIC COMPOUNDS</subject><subject>ORGANS</subject><subject>PATIENTS</subject><subject>Popliteal Vein</subject><subject>Prospective Studies</subject><subject>PROTEINS</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Pulmonary Embolism - etiology</subject><subject>Pulmonary Embolism - mortality</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radionuclide Imaging</subject><subject>RESPIRATORY SYSTEM</subject><subject>SCINTISCANNING</subject><subject>Thrombophlebitis - complications</subject><subject>THROMBOSIS</subject><subject>VEINS</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1975</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMo43h5A4XiQnRRzaWZphtBxBsO6ELXIU1OnUjbjEk7Mm9vagfduQrJ_5-Tjw-hI4IvCCazS4wxTYsZwWc5Py8ww1labKEpEXmREiHYNpr-VnbRXggf8UpIxiZoQgjDXIgpenrp68a1yq8TaEpX29AkKgSnrerAJF-2WySh9-9Wq7peJ0vvVvHZACyTFbSuD0m38C5OBhsO0E6l6gCHm3Mfvd3dvt48pPPn-8eb63mqmci6lHICFcuLkkKel6IsFTFZxSIymBkoE1MQlVCUA6s044QDqUqsNOYRGjO2j07GvS50VgZtO9AL7doWdCdzSjMqcCydjqWI_NlD6GRjg4a6Vi1EbCmo4EWOs1jMxqL2LgQPlVx620QhkmA5iJaDRTlYlDmXP6JlEceON_v7sgHzNzSajfnVmEM0sbLgB1BoNRjrB07j7P8ffAMvlY2b</recordid><startdate>197505</startdate><enddate>197505</enddate><creator>Williams, James W.</creator><creator>Britt, Louis G.</creator><creator>Sherman, Roger T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>197505</creationdate><title>Pulmonary embolism associated with surgically proved deep venous thrombosis</title><author>Williams, James W. ; Britt, Louis G. ; Sherman, Roger T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-251ef379b2e77b8bba1d4f3188ed6ead1efe8f8a25e3fc3515e1fb0ac05305033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1975</creationdate><topic>550601 - Medicine- Unsealed Radionuclides in Diagnostics</topic><topic>Adult</topic><topic>Aged</topic><topic>ALBUMINS</topic><topic>Amputation</topic><topic>BETA DECAY RADIOISOTOPES</topic><topic>BETA-MINUS DECAY RADIOISOTOPES</topic><topic>BLOOD VESSELS</topic><topic>BODY</topic><topic>CARDIOVASCULAR DISEASES</topic><topic>CARDIOVASCULAR SYSTEM</topic><topic>COUNTING TECHNIQUES</topic><topic>DAYS LIVING RADIOISOTOPES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DISEASES</topic><topic>EMBOLI</topic><topic>Female</topic><topic>Femoral Vein</topic><topic>Humans</topic><topic>INTERMEDIATE MASS NUCLEI</topic><topic>IODINE 131</topic><topic>IODINE ISOTOPES</topic><topic>Ischemia - surgery</topic><topic>ISOTOPES</topic><topic>Leg - blood supply</topic><topic>Leg - surgery</topic><topic>Lung</topic><topic>LUNGS</topic><topic>Male</topic><topic>Middle Aged</topic><topic>NUCLEI</topic><topic>ODD-EVEN NUCLEI</topic><topic>ORGANIC COMPOUNDS</topic><topic>ORGANS</topic><topic>PATIENTS</topic><topic>Popliteal Vein</topic><topic>Prospective Studies</topic><topic>PROTEINS</topic><topic>Pulmonary Embolism - diagnosis</topic><topic>Pulmonary Embolism - etiology</topic><topic>Pulmonary Embolism - mortality</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOISOTOPES</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radionuclide Imaging</topic><topic>RESPIRATORY SYSTEM</topic><topic>SCINTISCANNING</topic><topic>Thrombophlebitis - complications</topic><topic>THROMBOSIS</topic><topic>VEINS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, James W.</creatorcontrib><creatorcontrib>Britt, Louis G.</creatorcontrib><creatorcontrib>Sherman, Roger T.</creatorcontrib><creatorcontrib>City of Memphis Hospitals</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Am. J. Surg.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, James W.</au><au>Britt, Louis G.</au><au>Sherman, Roger T.</au><aucorp>City of Memphis Hospitals</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary embolism associated with surgically proved deep venous thrombosis</atitle><jtitle>Am. J. Surg.; (United States)</jtitle><addtitle>Am J Surg</addtitle><date>1975-05</date><risdate>1975</risdate><volume>129</volume><issue>5</issue><spage>500</spage><epage>502</epage><pages>500-502</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>In a prospective study, thrombosis of the femoral or popliteal veins was discovered at operation in nine of eighty-one patients requiring amputation of a lower extremity for arterial insufficiency. One week postoperatively, all nine patients had evidence of pulmonary embolism on the lung scan. Embolization was documented by arteriography in two patients and at autopsy in a third patient. In none of these patients was there clinical evidence of venous thrombosis prior to operation.
Two of the subjects with proved thrombosis died during study, a mortality of 22 per cent, whereas the mortality for the entire group was 10 per cent.
It is concluded that the deep venous system of patients requiring amputation for ischemia should be examined carefully at operation. These patients have a high incidence of deep venous thrombosis and the discovery of thrombus at the time of operation places them in a particularly high risk group.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>1130588</pmid><doi>10.1016/0002-9610(75)90304-9</doi><tpages>3</tpages></addata></record> |
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| ispartof | Am. J. Surg.; (United States), 1975-05, Vol.129 (5), p.500-502 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | 550601 - Medicine- Unsealed Radionuclides in Diagnostics Adult Aged ALBUMINS Amputation BETA DECAY RADIOISOTOPES BETA-MINUS DECAY RADIOISOTOPES BLOOD VESSELS BODY CARDIOVASCULAR DISEASES CARDIOVASCULAR SYSTEM COUNTING TECHNIQUES DAYS LIVING RADIOISOTOPES DIAGNOSIS DIAGNOSTIC TECHNIQUES DISEASES EMBOLI Female Femoral Vein Humans INTERMEDIATE MASS NUCLEI IODINE 131 IODINE ISOTOPES Ischemia - surgery ISOTOPES Leg - blood supply Leg - surgery Lung LUNGS Male Middle Aged NUCLEI ODD-EVEN NUCLEI ORGANIC COMPOUNDS ORGANS PATIENTS Popliteal Vein Prospective Studies PROTEINS Pulmonary Embolism - diagnosis Pulmonary Embolism - etiology Pulmonary Embolism - mortality RADIOISOTOPE SCANNING RADIOISOTOPES RADIOLOGY AND NUCLEAR MEDICINE Radionuclide Imaging RESPIRATORY SYSTEM SCINTISCANNING Thrombophlebitis - complications THROMBOSIS VEINS |
| title | Pulmonary embolism associated with surgically proved deep venous thrombosis |
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