AUA 2011 - Prospective evaluation of deep venous thrombosis and pulmonary embolus in patients undergoing radical cystectomy - Session Highlights

WASHINGTON, DC USA (UroToday.com) - Development of a deep vein thrombosis after radical cystectomy is a life-threatening complication.

These authors screened 133 consecutive radical cystectomy patients with bilateral lower extremity Duplex ultrasound for the presence of DVT on post-operative day 2 or 3, regardless of symptoms. They found 10% had asymptomatic DVTs. Surprisingly, only one patient developed a symptomatic DVT, but 6 patients developed a pulmonary embolus despite a negative DVT scan suggesting the clot came from the pelvic vessels. These patients only received sequential compression stockings.

They recommend low-dose heparin in conjunction with sequential compression stockings for all patients undergoing radical cystectomy.

 

 

Presented by Heidi Penn, et al. at the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA


Reported for UroToday by David P. Wood Jr., MD, Professor, Department of Urology, University of Michigan Health System.


 

The opinions expressed in this article are those of the UroToday.com Contributing Editor and do not necessarily reflect the viewpoints of the American Urological Association.


 

 



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