Marked variation in venous thromboprophylaxis management for abdominal aortic aneurysm repair; results of survey amongst vascular surgeons in the United Kingdom

Moussa, O., Jonker, Leon and Joseph, T. (2011) Marked variation in venous thromboprophylaxis management for abdominal aortic aneurysm repair; results of survey amongst vascular surgeons in the United Kingdom. European Journal of Vascular and Endovascular Surgery, 42 (5). pp. 591-595.

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Official URL: https://doi.org/10.1016/j.ejvs.2011.05.017

Abstract

Objectives: We aimed to survey the current management of venous thromboprophylaxis in patients undergoing elective surgery for abdominal aortic aneurysm (AAA) by vascular surgeons in the United Kingdom.

Design: A questionnaire was designed to investigate anticoagulation strategies in the perioperative period of elective AAA repair, both open and endovascular. This included both chemical and mechanical prophylaxis. A total of 395 questionnaires was posted to the members of the Vascular Society of Great Britain and Ireland.

Results: One hundred and seventy-two (44%) valid responses were received. Half of the respondents administered pre-operative chemical prophylaxis at a mean of 13 h prior to AAA surgery. There was a high level of concordance in administration of heparin during surgery and in thromboprophylaxis post-operatively, with 97% giving some form of thromboprophylaxis. However there was a variation in the dose and timing, if administered, of chemical and mechanical prophylaxis.

Conclusion: The survey revealed diversity in perioperative thromboprophylaxis strategies among vascular surgeons. This suggests that standardisation of pre-operative and post-operative mechanical and chemical thromboprophylaxis may be required which could potentially improve the outcomes in elective management of AAA in the UK.

Item Type: Article
Journal or Publication Title: European Journal of Vascular and Endovascular Surgery
Publisher: Elsevier for European Society for Vascular Surgery
ISSN: 1532-2165
Departments: Faculty of Health and Science > Medical and Sports Sciences > Health and Medical Sciences
Depositing User: Anna Lupton
Date Deposited: 25 Oct 2017 13:33
Last Modified: 25 Oct 2017 13:35
URI: http://insight.cumbria.ac.uk/id/eprint/3348

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