Pulmonary Embolism after Arthroscopic Bankart and Rotator Cuff Repair

Matthews, Joshua; Wessel, S.; Pate, Ryan C.; Chong, Alexander C.M.

doi:10.17161/kjm.v10i2.8652

Cited by 1 publication

(4 citation statements)

References 40 publications

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“…The diagnostic methods for VTE in all the 51 patients were reported in detail [ 27 , 39 , 42 – 56 , 58 , 62 – 65 ]. The most common ones were computed tomography (CT)/computed tomography angiography (CTA)/computed tomography pulmonary angiography (CTPA), which accounted for more than half of the total (22/32) [ 27 , 39 , 44 , 46 , 55 , 56 , 58 , 59 , 61 – 63 , 65 ]. Other methods included pulmonary ventilation or/and perfusion scan (5/32) [ 45 , 47 , 50 , 51 , 54 ] and angiography (2/32) [ 49 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…All the patients had symptomatic VTE except the 10 patients reported by Takahashi et al [ 24 ]. Common clinical manifestations of PE included dyspnea (17/32) [ 27 , 39 , 42 , 45 – 47 , 51 , 52 , 54 , 55 , 58 , 59 , 61 – 63 , 65 ] and chest/left shoulder/scapular pain (10/32) [ 27 , 46 , 50 , 55 , 59 , 62 , 65 ]. The rarer ones included tachycardia (2/32) [ 61 , 63 ], bloody sputum (1/32) [ 49 ] and cardiac arrest (1/32) [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Common clinical manifestations of PE included dyspnea (17/32) [ 27 , 39 , 42 , 45 – 47 , 51 , 52 , 54 , 55 , 58 , 59 , 61 – 63 , 65 ] and chest/left shoulder/scapular pain (10/32) [ 27 , 46 , 50 , 55 , 59 , 62 , 65 ]. The rarer ones included tachycardia (2/32) [ 61 , 63 ], bloody sputum (1/32) [ 49 ] and cardiac arrest (1/32) [ 44 ]. Common clinical manifestations of DVT included pain (23/28) [ 39 , 42 , 47 , 48 , 50 , 51 , 57 , 60 , 64 , 65 ] and swelling (22/28) [ 39 , 42 , 47 , 48 , 51 , 53 , 58 , 60 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

“…The treatments of VTE were mentioned in 45 patients though no included studies focused on the efficacy of treatments. The management of VTE typically included heparinization followed by oral warfarin, and this prescription was adopted in 24 patients (53.3%) [ 27 , 42 – 44 , 46 , 47 , 49 , 51 , 53 – 56 , 58 – 61 , 63 ]. However, the dosages of the drugs were not specified and the duration of warfarin application ranged from 6 weeks to 12 months, indicating that such scheme varies from patient to patient.…”

Section: Resultsmentioning

confidence: 99%

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Venous thromboembolism after arthroscopic shoulder surgery: a systematic review

Li²,

Zhang³

et al. 2023

J Orthop Surg Res

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Purpose To summarize the incidence, risk factors, diagnosis methods, prophylaxis methods, and treatment of venous thromboembolism (VTE) following arthroscopic shoulder surgery. Methods Literature on VTE after arthroscopic shoulder surgeries was summarized, and all primary full-text articles reporting at least 1 case of deep vein thrombosis (DVT) or pulmonary embolism (PE) after arthroscopic shoulder surgeries were included. Articles were critically appraised and systematically analyzed to determine the incidence, risk factors, diagnosis, prophylaxis, and management of VTE following arthroscopic shoulder surgeries. Results This study included 42 articles in which the incidence of VTE ranges from 0 to 5.71% and the overall incidence was 0.26%. Most VTE events took place between the operation day and the 14th day after the operation (35/51). Possible risk factors included advanced age (> 70 years), obesity (BMI ≥ 30 kg/m2), diabetes mellitus, thrombophilia, history of VTE, prolonged operation time, hormone use, and immobilization after surgery. The most common prophylaxis method was mechanical prophylaxis (13/15). No statistical difference was detected when chemoprophylaxis was applied. The management included heparinization followed by oral warfarin, warfarin alone and rivaroxaban, a direct oral anticoagulant. Conclusion Based on the included studies, the incidence rate of VTE after arthroscopic shoulder surgeries is relatively low. The risk factors for VTE are still unclear. CT/CTA and ultrasound were the mainstream diagnosis methods for PE and DVT, respectively. Current evidence shows that chemical prophylaxis did not deliver significant benefits, since none of the existing studies reported statistically different results. High-quality studies focusing on the prophylaxis and management of VTE population undergoing arthroscopic shoulder surgeries should be done in the future.

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