英国血管内电生理手术后当前的静脉血栓栓塞预防措施：一项回顾性研究。
Current Venous Thromboembolism Prevention Practices Following Endovascular Electrophysiological Procedures in the UK: A retrospective study.
作者信息
Saunderson Christopher, Hickman Sally, Wilkinson Elaine, Tayebjee Muzahir
机构信息
Department of Cardiology, Leeds General Infirmary, Leeds, UK.
School of Allied Health Professions & Sport, University of Bradford, Bradford, UK.
出版信息
Sultan Qaboos Univ Med J. 2018 Aug;18(3):e374-e378. doi: 10.18295/squmj.2018.18.03.018. Epub 2018 Dec 19.
OBJECTIVES
This study aimed to evaluate the incidence of venous thromboembolism (VTE) cases at the Leeds General Infirmary, Leeds, UK, as well as to survey current VTE practices and preventative strategies at other UK-based electrophysiology (EP) centres.
METHODS
This retrospective study involved all patients who underwent EP studies at Leeds General Infirmary from January 2014 to December 2016. In addition, a telephone survey was conducted of 35 other UK-based EP centres.
RESULTS
Of 1,020 patients who underwent EP studies at Leeds General Infirmary, 0.3% developed a post-procedural VTE. In addition, 28 other EP centres were surveyed (response rate: 80%), of which 18% reported VTE cases in the last two years. There were wide variations in VTE prevention strategies and the use of post-procedural thromboprophylaxis.
CONCLUSION
Despite the low incidence of VTE cases, many UK centres continue to experience this complication with no consensus on optimal preventative strategies. As current VTE guidelines do not recommend antithrombotics after EP studies, further research is needed.
目的
本研究旨在评估英国利兹市利兹综合医院静脉血栓栓塞症（VTE）病例的发生率，并调查英国其他电生理（EP）中心当前的VTE防治措施及预防策略。
方法
这项回顾性研究纳入了2014年1月至2016年12月在利兹综合医院接受EP检查的所有患者。此外，还对英国其他35个EP中心进行了电话调查。
结果
在利兹综合医院接受EP检查的1020例患者中，0.3%发生了术后VTE。此外，还对其他28个EP中心进行了调查（回复率：80%），其中18%报告在过去两年中有VTE病例。VTE预防策略和术后血栓预防措施的使用存在很大差异。
结论
尽管VTE病例发生率较低，但许多英国中心仍有这种并发症发生，对于最佳预防策略尚无共识。由于当前的VTE指南不建议在EP检查后使用抗血栓药物，因此需要进一步研究。
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