Journal article
Thromboembolism coincident with tourniquet deflation during total knee arthroplasty
The Lancet (British edition), v 341(8852), pp 1057-1058
24 Apr 1993
PMID: 8096961
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Despite prophylactic therapy, pulmonary embolism remains the leading cause of perioperative mortality in patients undergoing total knee arthroplasty (TKA). We used transoesophageal echocardiography to monitor 29 consecutive patients during TKA. Showers of substantial amounts of echogenic material, lasting for 3-15 min, were visible in the right atrium and ventricle within 10-15 s of tourniquet deflation in all patients. A 3×6 mm fresh thrombus was aspirated from the central circulation of one patient. Another patient, who had had a Greenfield filter placed for previous thromboembolism, showed very little echogenic material after tourniquet deflation. The composition and importance of these echogenic emboli remain uncertain.
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Details
- Title
- Thromboembolism coincident with tourniquet deflation during total knee arthroplasty
- Creators
- J.L. Parmet - Hahnemann University HospitalJ.C. Horrow - Hahnemann University HospitalH. Rosenberg - Hahnemann University HospitalA.T. Berman - Hahnemann University HospitalS. Harding - Hahnemann University Hospital
- Publication Details
- The Lancet (British edition), v 341(8852), pp 1057-1058
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine
- Web of Science ID
- WOS:A1993KZ01800007
- Scopus ID
- 2-s2.0-0027474274
- Other Identifier
- 991019184019804721
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- Web of Science research areas
- Medicine, General & Internal