Abstract
Despite gains in our abilities to identify patients at high risk of venous thromboembolism and provide them with rather safe and effective forms of primary prophylaxis (1–5), venous thromboembolism (V T-E) continues to occur at a substantial rate. Part of the problem is a failure to recognize the high risk patient; part, limited application of the available prophylactic options. Clearly, educative and logistic initiatives are still needed in many health care facilities, the key ingredient being a physician catalyst who can carry forward a primary prophylaxis program.
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References
Crandon, A.J., Peel, K.R., Anderson, J.A., Thompson, V., McNicol, G.P. Post-operative deep vein thrombosis: identifying high risk patients. Brit. Med. J., 281:343–44, 1980.
Sue-Ling, H.M., McMahon, M.J., Johnston, D., Philips, P.R., Davies, J.A. Pre-operative identification of patients at high risk of deep venous thrombosis after major abdominal surgery. The Lancet, 1:1173–1176, 1986.
Consensus Conference: Prevention of Venous Thrombosis and Pulmonary Embolism. JAMA, 256:744–749, 1986.
Havig, O. Deep vein thrombosis and pulmonary embolism. Chir. Scand., 478, 1–93, 1978.
The Epidemiology of Venous Thrombosis. The Milbank Memorial Fund Quarterly, 50:1–283, 1972.
Moser, K.M. and Fedullo, P.F., Venous thromboembolism: three simple decisions, 83:117–121, 256–260, 1983.
Moser, K.M., Spragg, R.G., Utley, J., Daily, P.O. Chronic thrombotic obstruction of major pulmonary arteries. Ann. Int. Med., 99:299–305, 1983.
Moser, K.M., Daily, P.O. and Peterson, K.L. Management of chronic unresolved large vessel thromboembolism in, the Pulmonary Circulation in Health and Disease (Ed: J.A. Will) Academic Press. (In press)
Moser, K.M., LeMoine, J.R. Is embolic risk conditioned by location of deep venous thrombosis? Ann. Int. Med, 94:439–434, 1981.
Hull, R.D., Hirsh, J., Carter, C.J, et al. Diagnostic efficacy of impedance plethysmography for clinically suspected deep vein thrombosis. Ann. Int. Med., 102:21–28, 1985.
Huisman, M.V., Buller, H.R., Ten Cate, J.W, Vreeken, J. Serial impedance plethysmography for suspected deep venous thrombosis in outpatients. New Engl. J. Med., 314:823–828, 1986.
Hull, R.D., Hirsh, J., Carter, C.J. et al. Pulmonary angiography, ventilation lung scanning and venography for clinically suspected pulmonary embolism with abnormal perfusion lung scan. Ann. Int. Med., 98:891–899, 1983.
Moser, K.M. Asymptomatic pulmonary embolism. JAMA, 247:1049, 1982.
Brach, B.B., Moser, K.M., Cedar, L., et al. Venous thrombosis in acute spinal cord paralysis. J. Trauma, 17:289–292, 1977.
Marder, V.J., Souler, R.L., Aticharthkarn, V., et al. Quantitative venographic assessment of deep vein thrombosis in the evaluation of streptokinase and heparin therapy. J. Lab. Clin. Med., 89:1018–24, 1977.
Robertson, B.R., Nilsson, I.M., and Nylander, G. Thrombolytic effect of streptokinase as evaluated by phlebography of deep venous thrombi of the leg. Act. Chir. Scand., 136:173–178, 1970.
Goldhaber, S.Z., Buring, J.E., Lipnick, R.L., Hennekens, C.H. Pooled analysis of randomized trials of streptokinase and heparin in phlebographically documented acute deep venous thrombosis. Am. J. Med., 76:393–397, 1984.
Hull, R., Carter, C, Jay, R.M., et al. The diagnosis of acute, recurrent deep vein thrombosis: A diagnostic challenge. Circ., 67:901–906, 1983.
Nelson, P.H., Moser, K.M., Stover, C., Moser, K.S. Risk of complications during intravenous heparin therapy. West J. Med., 136:189–197, 1982.
Pettiti, D.R., Strom, B.L., Melmon, K.L. Duration of warfarin anticoagulant therapy and the probabilities of recurrent thromboembolism and hemorrhage. Am. J. Med., 81:255–259, 1986.
Greenfield, L.J. A new intracaval filter permitting continued flow and resolution of emboli. Surg., 73:599–605, 1973.
Greenfield, L.J. Greenfield vena caval filter experience. Arch. Surg., 116:1451–55, 1981.
Hull, R., Delmore, T., Carter, C, et al. Adjusted subcutaneous heparin vs warfarin sodium in the long-term treatment of venous thrombosis. New Engl. J. Med., 306:189–194, 1982.
Hull, R., Hirsh, J., Jay, R., et al. Different intersities of oral anticoagulant therapy in the treatment of proximal-vein thrombosis. New Engl. J. Med., 307:1676–1681, 1982.
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Moser, K.M. (1987). Management of Recurrent Venous Thromboembolism. In: Wessler, S., Becker, C.G., Nemerson, Y. (eds) The New Dimensions of Warfarin Prophylaxis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-5985-3_17
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DOI: https://doi.org/10.1007/978-1-4757-5985-3_17
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