2018
DOI: 10.22603/ssrr.2017-0054
|View full text |Cite
|
Sign up to set email alerts
|

D-dimer predicts pulmonary embolism after low-risk spine surgery

Abstract: Introduction: Pulmonary embolism (PE) is a risk of mortality following spine surgery. Many studies have demonstrated that deep venous thrombosis (DVT) may affect and actually advance to PE, but few studies have shown how venous thromboembolism (VTE), including PE and DVT, affect blood markers after spine surgery. In this study, we examined changes in blood markers with PE or DVT after low-risk spine surgery, namely cervical laminoplasty or lumbar laminectomy. Methods: Seventy-two spine surgery patients were st… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

0
10
0

Year Published

2018
2018
2023
2023

Publication Types

Select...
9

Relationship

2
7

Authors

Journals

citations
Cited by 12 publications
(10 citation statements)
references
References 26 publications
0
10
0
Order By: Relevance
“…MDCT is available, but it cannot be used for all patients because of costs, allergy to contrast medium, liver damage, and renal failure. Inoue et al showed that the D-dimer level was significantly elevated in patients with asymptomatic PE on the third and seventh postoperative days after spine surgery 21 . We suggest that patients undergo a predictor test such as evaluation of the D-dimer level.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…MDCT is available, but it cannot be used for all patients because of costs, allergy to contrast medium, liver damage, and renal failure. Inoue et al showed that the D-dimer level was significantly elevated in patients with asymptomatic PE on the third and seventh postoperative days after spine surgery 21 . We suggest that patients undergo a predictor test such as evaluation of the D-dimer level.…”
Section: Discussionmentioning
confidence: 99%
“…The preoperative scans detected any preexisting thrombi, making it possible to show that thrombi detected on the postoperative scans were new, and thus presumably iatrogenic in origin. The time points for testing in the present study were matched to the previous studies 17 , 21 .…”
Section: Methodsmentioning
confidence: 99%
“…[ 20 ] In our previous study, preoperative PAI-1 in patients with DVT and VTE was significantly increased at a cut-off value of 31 ng/ml. [ 21 ] We believe that high preoperative PAI-1 predicts thromboembolic events such as AAO.…”
Section: Discussionmentioning
confidence: 99%
“…41,42 It should be noted, however, that the literature describes many scenarios that can cause an elevated D-dimer, which makes this test nonspecific for DVT patients. 43 For example, Rafee et al 42 stated that both total hip arthroplasty and total knee arthroplasty, like all major surgeries, activate the fibrinolytic system, and that the elevated D-dimer in these instances cannot be differentiated from those with postoperative DVT and thus is a waste of a resource in the surgical setting.…”
Section: Diagnosis Of Vtementioning
confidence: 99%