Category Archives: Blood Clots

Aspirin effective in preventing symptomatic venous thromboembolic events in TJA

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Deirmengian GK, et al. J Arthroplasty. 2016;doi:10.1016/j.arth.2016.03.031.

May 5, 2017

Recently published data showed that aspirin use as prophylaxis during revision total joint arthroplasty was more effective than warfarin in preventing symptomatic venous thromboembolic events and was associated with lower complications…

…Administration of aspirin as prophylaxis against VTEs after revision arthroplasty may be a viable option as it appears to be more effective than warfarin in prevention of symptomatic VTEs and is associated with a lower rate of complications.

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FDA Approves Pradaxa for Hip Replacement Surgery

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RIDGEFIELD, Conn., November 23, 2015 – Boehringer Ingelheim Pharmaceuticals, Inc. today announced that the U.S. Food and Drug Administration (FDA) approved Pradaxa® (dabigatran etexilate mesylate) for the prophylaxis of deep venous thrombosis (DVT) and pulmonary embolism (PE) in patients who have undergone hip replacement surgery. There are an estimated 300,000 total hip replacement surgeries performed in the U.S. each year. Without preventive anticoagulant treatment, the incidence of DVT ranges from 40 to 60 percent for primary elective hip surgery patients.

“This milestone represents the fourth FDA-approved indication for PRADAXA in five years — a testament to the company’s continued leadership in the evolution of anticoagulation care for patients and clinicians,” said Sabine Luik, MD, senior vice president, Medicine & Regulatory Affairs, Boehringer Ingelheim. “PRADAXA has the longest real-world experience of any novel oral anticoagulant, and we are dedicated to ongoing research. Physicians and patients …

TEDS Thrombo-Embolic-Disease-Devices

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Your doctor has prescribed anti-coagulation medications to prevent blood clots and increase the blood flow in your legs. Along with taking your medications as prescribed, T.E.D. anti-embolism stockings will help prevent blood clots in the deep veins of your legs.

What are T.E.D. Anti-embolism stockings?

Commonly referred to as TED Hose – T.E.D. means thrombo-embolic disease/devices. Anti-embolism stockings are long, tight fitting “socks” that keep mild graduated pressure on the legs.
Proper size and fit is important in order for stockings to be effective.
Your nurse will assess the size and length of the stockings.

What is the purpose of TED anti-embolism stockings?

The graduated compression of the stockings will help the blood to constantly move in the leg providing good circulation; therefore, preventing blood from sitting idle which can lead to blood clots in the deep veins of the leg.
Research has shown that using these stockings along with …

Preventing Blood Clots for THR

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New study identifies risk factors for the complications of a dangerous blood clot 9/16/2010 Rosemont, IL

Risk factors for venous thromboembolism after total hip replacement (THR) surgery were identified in a new study published in the September 2010 issue of The Journal of Bone and Joint Surgery (JBJS). While the rate of thromboembolism has been significantly reduced through medication, understanding the risk factors could further reduce the likelihood of patients developing this potentially fatal complication.

Two of the most common manifestations of a thromboembolism include:

  • Deep vein thrombosis (DVT), in which the blood clot forms in a deep vein, commonly in the thigh or calf

  • Pulmonary embolism (PE), in which the blood clot breaks free and travels through the veins.

Before any orthopaedic surgery, patients should provide their orthopaedic surgeon with a complete, detailed medical history so risk factors can be identified. Patients also should follow the surgeon’s pre- and …

Blood Clots How to Prevent Them by Dr. McGrory

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Blood Clots, Blood Thinners and TEDS From the Hip Replacement Handbook by Brian McGroryUpdated 7/2/09

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By Brian McGrory Maine Joint Replacement Institute Blood Clots
Arteries are blood vessels that carry blood away from the heart to body tissues and organs. Veins are blood vessels through which blood travels from all parts of the body back to the heart.

A blood clot is a jelly-like mass of thickened blood. The body normally forms a blood clot to stop bleeding. After hip surgery there will be a blood clot near the new hip joint. This is normal, and not dangerous.

If a blood clot develops inside a vein, however, it can block the normal flow of blood and cause temporary and long-term problems. This can result in pain, tenderness and swelling of the leg. When a blood clot occurs in one of the main veins of the …

Blood Clots and Thinners by Dr. Rubinstein

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Blood Clots and Blood Thinnersby Dr. Scott Rubinstein  August 25, 2007,

Here we are debating a question that has no clear cut answer. All the anticoagulents have side effects. Bleeding and bruising are the most common ones. There are advantages and disadvantages to each and none is the clear cut winner. As far as effectiveness they all seem to be about the same. Each surgeon has their opinions and all can be supported by some data.

My advice is to go with whatever your surgeon is comfortable with. If you are unsure ask questions such as why they choose a certain drug protocol. And if you feel strongly about one discuss it with your surgeon. They should be able to justify their choice.

Scott Rubinstein M.D.

www.hiportho.com

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Preventing Blood Clots

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Deep venous thrombosis (DVT) and pulmonary embolism (PE) are major causes of morbidity and mortality in the perioperative period (Figure 1). Despite the availability of effective prophylactic agents, most patients who are at significant risk for postoperative DVT do not receive appropriate preventive care. This article will review the etiology of perioperative DVT and PE, the pharmacology of common anticoagulant therapies, and the risks and benefits of various prophylactic regimens. This article will also review the safe and effective use of anticoagulant and mechanical therapies in the perioperative periods with regard to type of surgery: general, gynecologic, urologic, neurosurgical and orthopedic.…