Omuz artroplastisi sonrası venöz tromboembolizm: Üç olgu sunumu

Abstract

Omuz artroplastisi sonrası venöz tromboembolizm nadir bir olgu olarak kabul edilse de tehlikeli ve hayati risk içeren bir durum olabilir. Bu çalışmada, omuz artroplastisi sonrası oluşan üç venöz tromboembolizm olgusunu sunmayı amaçladık. Hastalardan biri, ölümcül olmayan pulmoner embolizm geçirdi. Diğer iki hastada, biri opere edilmiş üst ekstremitede diğeri ise alt ekstremitede olmak üzere derin ven trombozu oluştu. Olgular detaylı olarak tanımlandı ve muhtemel etken risk faktörlerini ortaya çıkarmak için tartışıldı. Bu olgu çalışmasının amacı, nispeten nadir görülen ancak potansiyel olarak ciddi bir durum olan bu komplikasyonun farkındalığını artırmaktır.

Keywords

• Artroplasti; omuz; tromboembolizm.

Venous thromboembolism after shoulder arthroplasty is considered a rare phenomenon, but can

Abstract

Venous thromboembolism after shoulder arthroplasty is considered a rare phenomenon, but can be a dangerous and life-threatening condition. We report three cases of venous thromboembolism sustained after shoulder arthroplasty. One of the patients had a non-fatal pulmonary embolism. The other two had deep vein thrombosis, one in the operated upper extremity, and the other in a lower extremity. The cases are described in detail and discussed to reveal the possible contributing risk factors. The purpose of this case series is to increase awareness of this relatively rare, but potentially serious complication.

Keywords

• Arthroplasty
• thromboembolism
• shoulder

References

1. Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, et al. Prevention of venous thrombo- embolism: American College of Chest Physicians Evi- dence-Based Clinical Practice Guidelines (8th ed). Chest 2008;133(6 Suppl):381–453.
2. MacDougall DA, Feliu AL, Boccuzzi SJ, Lin J. Economic burden of deep-vein thrombosis, pulmonary embolism, and post-thrombotic syndrome. Am J Health Syst Pharm 2006;63(20 Suppl 6):5–15.
3. Ojike NI, Bhadra AK, Giannoudis PV, Roberts CS. Ve- nous thromboembolism in shoulder surgery: a systematic review. Acta Orthop Belg 2011;77:281–9.
4. Saleh HE, Pennings AL, ElMaraghy AW. Venous throm- boembolism after shoulder arthroplasty: a systematic re- view. J Shoulder Elbow Surg 2013;22:1440–8.
5. Dattani R, Smith CD, Patel VR. The venous thrombo- embolic complications of shoulder and elbow surgery: a systematic review. Bone Joint J 2013;95-B:70–4.
6. Kujovich JL. Factor V Leiden thrombophilia. 1999 May 14 (Updated 2010 Mar 9). In: Pagon RA, Bird TD, Dalon CR, et al., editors. GeneReviewsTM. Seatle (WA): Uni- versity of Washington, Seattle; 1993. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1368/.
7. Khoury MJ, Cordero JF, Greenberg F, James LM, Er- ickson JD. A population study of the VACTERL asso- ciation: evidence for its etiologic heterogeneity. Pediatrics 1983;71:815–20.
8. Willis AA, Warren RF, Craig EV, Adler RS, Cordasco FA, Lyman S, et al. Deep vein thrombosis after reconstructive shoulder arthroplasty: a prospective observational study. J Shoulder Elbow Surg 2009;18:100–6.

9. Izquierdo R, Voloshin I, Edwards S, Freehill MQ, Stan- wood W, Wiater JM, et al. Treatment of glenohumeral osteoarthritis. J Am Acad Orthop Surg 2010;18:375–82.
10. NICE clinical guideline 92 (NICE 2010) Venous throm- boembolism: Reducing the risk of venous thromboembo- lism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital. http://www.nice.org.uk/ nicemedia/live/12695/47197/47197.pdf (last assessed on 26 September 2013).
11. British Elbow and Shoulder Society: http://bess.org.uk/ media/VTEdraft.pdf (date last assessed 26 September 2013).
12. Geerts WH, Pineo GF, Heit JA, Bergqvist D, Lassen MR, Colwell CW, et al. Prevention of venous thrombo- embolism: the Seventh ACCP Conference on Antithrom- botic and Thrombolytic Therapy. Chest 2004;126(3 Sup- pl):338–400.