STUDY OBJECTIVE To measure the effect of an altered process of care, directed by a computerized reminder system, on rates of symptomatic postoperative venous thromboembolism. DESIGN Comparisons of preintervention and postintervention measurements. SETTING A university-affiliated community hospital in Utah. PATIENTS Two-thousand seventy-seven consecutive patients who underwent major operat...

Pregnancy is associated with an increased risk of venous thromboembolism, which includes pulmonary embolism (PE) and deep vein thrombosis. The incidence of venous thromboembolism is estimated at 0.76 to 1.72 per 1,000 pregnancies, which is four times higher than that in non-pregnant women [1]. The incidence of PE in the postpartum period is much higher than during pregnancy [2]. There are few r...

OBJECTIVE To review the recent advances in management of acute venous thromboembolism. DATA SOURCES Articles and published reviews on venous thromboembolism, pulmonary embolism and deep vein thrombosis. SUMMARY OF REVIEW Acute venous thromboembolism describes a group of disorders that include venous thrombosis (usually deep vein thrombosis) and pulmonary thromboembolism. Ultrasound suppleme...

conclusions invasive treatment of dialysis patients for cvc related complications is effective and durable during mid-term follow up with no re-intervention, clinical episode of vte or death. cta is a reliable mean for the diagnosis of cvc related complications. methods this is a retrospective analysis of prospectively collected data of dialysis patients treated for cvc-related complications an...

BACKGROUND Surgery for hip fracture carries a high risk of venous thromboembolism, despite the use of current thromboprophylactic treatments. Fondaparinux, a synthetic pentasaccharide, is a new antithrombotic agent that may reduce this risk. METHODS In a double-blind study, were randomly assigned 1711 consecutive patients undergoing surgery for fracture of the upper third of the femur to rece...

BACKGROUND The prevalence of asymptomatic deep vein thrombosis diagnosed by venography after hip or knee replacement remains high despite 7 to 10 days of anticoagulant prophylaxis. However, the risk of symptomatic events in such patients is unclear. We performed a meta-analysis to provide reliable estimates of the risk of symptomatic venous thromboembolism occurring within 3 months of hip or kn...

Deep vein thrombosis and pulmonary embolism, collectively referred to as venous thromboembolism, constitute a major global burden of disease. The diagnostic work-up of suspected deep vein thrombosis or pulmonary embolism includes the sequential application of a clinical decision rule and D-dimer testing. Imaging and anticoagulation can be safely withheld in patients who are unlikely to have ven...

BACKGROUND In some studies, venous thromboembolism has been associated with atherosclerosis and with the risk of arterial cardiovascular events such as myocardial infarction and stroke. Other studies, however, do not show this association. To help clarify these discrepant findings, we aimed to investigate the risk of arterial cardiovascular events in patients who were diagnosed with venous thro...

Introduction. 3,3'-Diindolylmethane is available as a supplement in the United States for "cancer prevention" and "augmentation of physical fitness." A derivative of indole-3-carbinol found in plants, diindolylmethane, binds to receptors associated with the sex steroid pathways and has unclear effects on estrogen and androgen physiology. We present a patient who had been taking diindolylmethane...

Venous aneurysms are uncommon in the lower limb and are more frequently found in the neck and thoracic and visceral veins. However, they have been reported to cause thrombosis, pulmonary thromboembolism, and other related complications. Popliteal venous aneurysms are often undetected because they are usually asymptomatic, but they may cause pulmonary thromboembolic events. We experienced a case...