Infrainguinal Bypass Surgery for Chronic Arterial Occlusive Disease Associated with Essential Thrombocythemia: Report of a Case

Sugimoto, Takeshi; Kitade, Takashi; Mimura, Takashi; Koyama, Takashi; Hatta, Takeshi; Kurisu, Sigeru; Kodama, Kazuya; Wakatsuki, Soichi

doi:10.1007/s00595-004-2759-8

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…[ 13 , 14 ] Therefore, caution during preoperative evaluation and treatment to reduce platelet counts are considered to be essential before surgery. [ 15 – 18 ] We chose plateletpheresis to quickly decrease the platelet count, since this has been successfully applied in coronary artery bypass grafting. [ 19 ]…”

Section: Discussionmentioning

confidence: 99%

Abdominal surgery in patients with essential thrombocythemia

Zhu

Jiang²,

Chen³

et al. 2017

Medicine

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Introduction:Essential thrombocythemia/thrombocytosis (ET) is characterized by increased bleeding and thrombosis risk during the perioperative period. We report the case of a woman with ET and sigmoid colon cancer, in whom the postoperative course was complicated by anastomotic bleeding. A systematic review was conducted to seek guidance for the management of such patient in the perioperative period.Methods:A systematic literature review was conducted using EMBASE, Medline, and PubMed databases to detect relevant English language articles. Published studies with full-text articles were included. Two authors independently searched and extracted the data. Any differences were resolved by consensus. Studies on abdominal surgery were manually retrieved.Results:Four case reports (including our case report) that described abdominal surgery in patients with ET were included. All patients were females, with a mean age of 47 years. Laparoscopic surgery was performed in 2 patients, and open surgery was performed in the other 2 patients. Two patients had postoperative bleeding that occurred on the first postoperative day. There was one case of pseudohyperkalemia after surgery and one case of Budd-Chiari syndrome caused by hepatic vein thrombosis. No guidelines for patients with ET undergoing abdominal surgery were found.Conclusion:In conclusion, there are currently no definitive guidelines for the perioperative management of patients with ET. Furthermore, there are few reports of ET in patients with malignancy undergoing surgery. Further studies in this unique group of patients are required.

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Section: Discussionmentioning

confidence: 99%

Abdominal surgery in patients with essential thrombocythemia

Zhu

Jiang²,

Chen³

et al. 2017

Medicine

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“…[4] In our literature review, few clinical reports have been published describing the clinical onset of critical extremity ischemia in ET. [8][9][10][11][12][13] In those reports, extremity ischemia was mostly observed after arterial thrombosis and was due to paradoxical embolization from a venous thrombosis in only one case. [13] On the other hand, patients mostly presented with thrombosis on native vessels.…”

Section: Discussionmentioning

confidence: 99%

“…[13] On the other hand, patients mostly presented with thrombosis on native vessels. Nevertheless, Sugimoto [11] noted that ET complicated the course of an underlying atherosclerosis. To our knowledge, ours is the first reported case of isolated thrombosis of SFA causing critical extremity ischemia in a patient with ET.…”

Section: Discussionmentioning

confidence: 99%

Peripheral bypass grafting in a patient with essential thrombocytosis: What should a vascular surgeon know?

Onan¹

2012

Turk Gogus Kalp Dama

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“…C e r t a i n s y s t e m i c d i s e a s e s , s u c h a s antiphospholipid syndrome and myeloproliferative neoplasms, have high thromboembolism risks, and cause chronic lower limb artery occlusions as well as acute thrombotic occlusions [21][22][23] . Such systemic diseases may be an underlying cause of thrombotic occlusions in AI disease; therefore, they might be associated with high mortality in patients with thrombotic lesions.…”

Section: High Mortality Following Evt Of Thrombotic Lesionsmentioning

confidence: 99%

Thrombotic Lesions are Associated with Poor Outcomes after Endovascular Treatment in Patients with Non-Acute Aortoiliac Total Occlusions

Kadoya

Zen

Iida

et al. 2021

JAT

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The post-endovascular treatment outcomes of thrombotic lesions remain unclear. This study aimed to investigate the effects of thrombotic lesions on post-endovascular treatment outcomes in patients with non-acute aortoiliac total occlusions. Methods: This subanalysis of a multicenter prospective observational registry study included patients from 64 institutions in Japan between April 2014 and April 2016. A total of 346 patients (394 limbs; median age, 72 years), including 186 men, underwent endovascular treatment for non-acute aortoiliac total occlusions and were included. The patients were classified as having thrombotic or non-thrombotic lesions. The primary (1-year primary patency rate) and secondary (1-year overall survival rate) endpoints were evaluated. Results: Thrombotic lesions were identified in 18.5% (64/346) of the patients. The 1-year primary patency (85.9% versus 95.4%, log-rank p .001) and overall survival (90.6% versus 97.9%, log-rank p .003) rates were significantly lower in the thrombotic group than in the non-thrombotic group. Thrombotic lesions had significant effects on the post-endovascular treatment outcomes, with adjusted hazard ratios of 3.91 (95% confidence interval, 1.64-9.34, p .002) for primary patency and 4.93 (95% confidence interval, 1.59-15.3, p .006) for all-cause mortality. Conclusions: Thrombotic lesions were associated with 1-year restenosis and all-cause mortality after endovascular treatment for non-acute aortoiliac total occlusions. Endovascular treatment strategies should be carefully planned for patients with thrombotic lesions. disease, and favorable post-EVT outcomes were reported 1-2). Among patients undergoing EVT for AI lesions, 24% have chronic total occlusions (CTOs) 1). Generally, CTOs are hard lesions containing rigid

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Infrainguinal Bypass Surgery for Chronic Arterial Occlusive Disease Associated with Essential Thrombocythemia: Report of a Case

Cited by 5 publications

References 7 publications

Abdominal surgery in patients with essential thrombocythemia

Abdominal surgery in patients with essential thrombocythemia

Peripheral bypass grafting in a patient with essential thrombocytosis: What should a vascular surgeon know?

Thrombotic Lesions are Associated with Poor Outcomes after Endovascular Treatment in Patients with Non-Acute Aortoiliac Total Occlusions

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