Upper extremity deep vein thrombosis central venous catheters-related and pulmonary embolism after cardiac surgery

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#IVTEAM #Intravenous literature: “Clinicians managing post-cardiac surgery patients need to know and seek for venous thromboembolism CVCs related after cardiac surgery.” Scarduelli et al (2014)

Reference:

Scarduelli, C., Ghirardi, R., Tortelli, O., Frizzelli, R., Mascaro, F. and Pinzi, C. (2014) Upper extremity deep vein thrombosis central venous catheters-related and pulmonary embolism after cardiac surgery. Chest. 145(3 Suppl), p.527A.

Abstract:

SESSION TITLE: DVT/PE Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM – 02:15 PM

PURPOSE: Our purpose is to describe clinical presentation and diagnostic approach in 5 patients presenting with upper extremity deep vein thrombosis (UEDVT) central venous catheters (CVC)-related and pulmonary embolism after cardiac surgery

METHODS: We report clinical caracteristics, diagnostic approach, management and evolution of 5 patients consecutively admitted to our Cardiopulmonary Rehabilitation Unit.

RESULTS: Clinical caracteristics of the patients at diagnosis were (beginning from the left column) : 1-Name, 2-sex, 3-age, 4- type of surgery, 5-days after surgery. 6-systolic pulm. pressure (mmHg), 7-PaO2(mmHg), 8-PaCO2(mmHg), 9-pH G.I M 58 CABPG 5 60 60 33 7,49 B.F. M 54 CABPG 7 25 58 35 7,48 S.P. M 75 Valve 3 50 45 32 7,49 R.B. M 55 CABPG 9 30 70 36 7,45 P.A M 64 CABPG 7 64 45 31 7,47 MEAN 5 61 4 CABG 6,2 45 55 33 7,47 CABPG is for coronary artery bypass graft

CONCLUSIONS: UEDVT CVCs related may complicate with pulmonary embolism, pulmonary hypertension and respiratory failure. Pulmonary embolism in our patients developed in 1 week after surgery. Early diagnosis and treatment are crucial for clinical and functional improvement and prevention of recurrence of pulmonary embolism

CLINICAL IMPLICATIONS: Clinicians managing post-cardiac surgery patients need to know and seek for venous thromboembolism CVCs related after cardiac surgery

DISCLOSURE: The following authors have nothing to disclose: Cleante Scarduelli, Redenta Ghirardi, Ornella Tortelli, Rino Frizzelli, Fabia Mascaro, Claudio Pinzi No Product/Research Disclosure Information.

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