Abstract
The incidence of postoperative venous thrombosis and pulmonary embolism was assessed in 87 patients undergoing 96 major lower extremity amputations for ischemia. Prospective surveillance for deep leg vein thrombosis was carried out by Doppler ultrasound in 35 patients. There was no instance of major leg vein thrombosis and only one episode of a small non-fatal pulmonary embolus in a patient suffering trauma to the amputation stump after discharge from the hospital. This study suggests that clinically significant venous thromboembolism following current techniques of lower extremity amputation is not as common as previously reported. Doppler ultrasound is the most suitable technique for surveillance of venous thrombosis in these patients.
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Selected References
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- BRADHAM R. R., SMOAK R. D. AMPUTATIONS OF THE LOWER EXTREMITY USED FOR ARTERIOSCLEROSIS OBLITERANS. Arch Surg. 1965 Jan;90:60–64. doi: 10.1001/archsurg.1965.01320070062013. [DOI] [PubMed] [Google Scholar]
- Burgess E. M., Romano R. L., Zettl J. H., Schrock R. D., Jr Amputations of the leg for peripheral vascular insufficiency. J Bone Joint Surg Am. 1971 Jul;53(5):874–890. [PubMed] [Google Scholar]
- Colt J. D., Lee P. Y. Mortality rate of above-the-knee amputation for arteriosclerotic gangrene: a critical evaluation. Angiology. 1972 Apr;23(4):205–210. doi: 10.1177/000331977202300404. [DOI] [PubMed] [Google Scholar]
- Condon R. E., Jordan P. H., Jr Immediate postoperative prostheses in vascular amputations. Ann Surg. 1969 Sep;170(3):435–447. doi: 10.1097/00000658-196909010-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cranley J. J., Krause R. J., Strasser E. S., Hafner C. D. Below-the-knee amputation for arteriosclerosis obliterans, with and without diabetes mellitus. Arch Surg. 1969 Jan;98(1):77–80. doi: 10.1001/archsurg.1969.01340070095018. [DOI] [PubMed] [Google Scholar]
- DALE W. A., CAPPS W., Jr Major leg and thigh amputations; ten-year survey of results. Surgery. 1959 Aug;46(2):333–342. [PubMed] [Google Scholar]
- Haeger K. Problems of acute deep venous thrombosis. I. The interpretation of signs and symptoms. Angiology. 1969 Apr;20(4):219–223. doi: 10.1177/000331976902000406. [DOI] [PubMed] [Google Scholar]
- Hall R., Shucksmith H. S. The above-knee amputation for ischaemia. Br J Surg. 1971 Sep;58(9):656–659. doi: 10.1002/bjs.1800580906. [DOI] [PubMed] [Google Scholar]
- Harper D. R., Dhall D. P., Woodruff P. W. Prophylaxis in iliofemoral venous thrombosis. The major amputee as a clinical research model. Br J Surg. 1973 Oct;60(10):831–831. doi: 10.1002/bjs.1800601019. [DOI] [PubMed] [Google Scholar]
- Kihn R. B., Warren R., Beebe G. W. The "geriatric" amputee. Ann Surg. 1972 Sep;176(3):305–314. doi: 10.1097/00000658-197209000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moore W. S., Hall A. D., Lim R. C., Jr Below the knee amputation for ischemic gangrene. Comparative results of conventional operation and immediate postoperative fitting technic. Am J Surg. 1972 Aug;124(2):127–134. doi: 10.1016/0002-9610(72)90003-7. [DOI] [PubMed] [Google Scholar]
- OTTEMAN M. G., STAHLGREN L. H. EVALUATION OF FACTORS WHICH INFLUENCE MORTALITY AND MORBIDITY FOLLOWING MAJOR LOWER EXTREMITY AMPUTATIONS FOR ARTERIOSCLEROSIS. Surg Gynecol Obstet. 1965 Jun;120:1217–1220. [PubMed] [Google Scholar]
- Williams J. W., Britt L. G., Eades T., Sherman R. T. Pulmonary embolism after amputation of the lower extremity. Surg Gynecol Obstet. 1975 Feb;140(2):246–248. [PubMed] [Google Scholar]
