Color Doppler Flow Imaging For Deep Venous Thrombosis Screening in Patients Undergoing Pelvic Lymphadenectomy and Radical Retropubic Prostatectomy for Prostatic Carcinoma

Ilan Leibovitch, Richard Foster, Justin L. Wass, Randall G. Rowland, Richard Bihrle, Samuel J. Little, Kenyon K. Kopecky, John P. Donohue

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Patients undergoing pelvic lymphadenectomy and radical retropubic prostatectomy are traditionally considered to be at high risk for postoperative venous thromboembolic complications. A prospective deep venous thrombosis screening regimen was initiated at our medical center in 1990 following 2 cases of fatal pulmonary embolism that occurred after hospital discharge. During a 3-year period 245 consecutive patients undergoing radical retropubic prostatectomy for prostate cancer were screened postoperatively for lower extremity deep venous thrombosis using ultrasound duplex scanning with color Doppler flow imaging. The results were correlated only with the development of clinical deep venous thrombosis. No additional diagnostic modalities were used to confirm a normal venous system in asymptomatic patients. Venous thromboembolic complications were encountered in 9 of the 245 patients (3.6 percent). In 2 patients deep venous thrombosis was associated with nonfatal pulmonary embolism. Only 2 of the 9 cases of deep venous thrombosis were detected by color Doppler flow imaging screening. The striking decrease in the incidence of deep venous thrombosis following radical prostatectomy in the last decade and the low yield of screening at a single point in time may warrant reconsideration of the need for deep venous thrombosis screening among patients undergoing pelvic lymphadenectomy and radical retropubic prostatectomy for prostate cancer.

Original languageEnglish
Pages (from-to)1866-1869
Number of pages4
JournalJournal of Urology
Volume153
Issue number6
DOIs
StatePublished - 1995

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Prostatectomy
Lymph Node Excision
Venous Thrombosis
Color
Carcinoma
Pulmonary Embolism
Prostatic Neoplasms
Lower Extremity
Incidence

ASJC Scopus subject areas

  • Urology

Cite this

Color Doppler Flow Imaging For Deep Venous Thrombosis Screening in Patients Undergoing Pelvic Lymphadenectomy and Radical Retropubic Prostatectomy for Prostatic Carcinoma. / Leibovitch, Ilan; Foster, Richard; Wass, Justin L.; Rowland, Randall G.; Bihrle, Richard; Little, Samuel J.; Kopecky, Kenyon K.; Donohue, John P.

In: Journal of Urology, Vol. 153, No. 6, 1995, p. 1866-1869.

Research output: Contribution to journalArticle

Leibovitch, Ilan ; Foster, Richard ; Wass, Justin L. ; Rowland, Randall G. ; Bihrle, Richard ; Little, Samuel J. ; Kopecky, Kenyon K. ; Donohue, John P. / Color Doppler Flow Imaging For Deep Venous Thrombosis Screening in Patients Undergoing Pelvic Lymphadenectomy and Radical Retropubic Prostatectomy for Prostatic Carcinoma. In: Journal of Urology. 1995 ; Vol. 153, No. 6. pp. 1866-1869.
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abstract = "Patients undergoing pelvic lymphadenectomy and radical retropubic prostatectomy are traditionally considered to be at high risk for postoperative venous thromboembolic complications. A prospective deep venous thrombosis screening regimen was initiated at our medical center in 1990 following 2 cases of fatal pulmonary embolism that occurred after hospital discharge. During a 3-year period 245 consecutive patients undergoing radical retropubic prostatectomy for prostate cancer were screened postoperatively for lower extremity deep venous thrombosis using ultrasound duplex scanning with color Doppler flow imaging. The results were correlated only with the development of clinical deep venous thrombosis. No additional diagnostic modalities were used to confirm a normal venous system in asymptomatic patients. Venous thromboembolic complications were encountered in 9 of the 245 patients (3.6 percent). In 2 patients deep venous thrombosis was associated with nonfatal pulmonary embolism. Only 2 of the 9 cases of deep venous thrombosis were detected by color Doppler flow imaging screening. The striking decrease in the incidence of deep venous thrombosis following radical prostatectomy in the last decade and the low yield of screening at a single point in time may warrant reconsideration of the need for deep venous thrombosis screening among patients undergoing pelvic lymphadenectomy and radical retropubic prostatectomy for prostate cancer.",
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