Thromboembolic Prophylaxis in Total Joint Arthroplasty
Joint Authors
Markel, David C.
Knesek, David
Peterson, Todd C.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Approximately 775,000 hip and knee arthroplasties are performed yearly in the United States, with a dramatic increase expected.
Patients having hip and knee arthroplasties are at high risk of developing a venous thromboembolism.
The American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS) have updated guidelines, which outline new prophylactic strategies.
Factor Xa inhibitor rivaroxaban has a new recommendation by ACCP and is gradually being adopted by the joint arthroplasty community as an effective oral agent.
Other more well-known agents including warfarin, low-molecular-weight heparin, aspirin, and fondaparinux continue to be options for prophylaxis.
While the goal of prophylaxis continues to be the prevention of venous thromboemboli and pulmonary emboli, it is important to consider the increased bleeding risk associated with their use.
The most recent ACCP and AAOS guidelines give clinicians a greater autonomy in choosing a prophylactic agent with greater emphasis placed on dialogue between the surgeon and patient as to the choice of prophylaxis.
American Psychological Association (APA)
Knesek, David& Peterson, Todd C.& Markel, David C.. 2012. Thromboembolic Prophylaxis in Total Joint Arthroplasty. Thrombosis،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502162
Modern Language Association (MLA)
Knesek, David…[et al.]. Thromboembolic Prophylaxis in Total Joint Arthroplasty. Thrombosis No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-502162
American Medical Association (AMA)
Knesek, David& Peterson, Todd C.& Markel, David C.. Thromboembolic Prophylaxis in Total Joint Arthroplasty. Thrombosis. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502162
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502162