A Pilot Study of Computed Tomography-Detected Asymptomatic Pulmonary Filling Defects After Hip and Knee Arthroplasties

Journal of Arthroplasty

Volumn 27, Issue 5, 2012, Pages 730-735

  Gandhi, Rajiv ^a   Salonen, David ^b   Geerts, William H ^c   Khanna, Monica ^b   McSweeney, Sean ^b   Mahomed, Nizar N ^b  

^a TORONTO WESTERN HOSPITAL   (Canada)

^b UNIVERSITY HEALTH NETWORK   (Canada)

^c SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

Hip arthroplasty; Knee arthroplasty; Pulmonary embolism

Indexed keywords

LOW MOLECULAR WEIGHT HEPARIN;

ADULT; ARTICLE; ASYMPTOMATIC PULMONARY FILLING DEFECT; CLINICAL ARTICLE; DYSPNEA; FEMALE; FEVER; HIP ARTHROPLASTY; HOSPITAL DISCHARGE; HUMAN; HYPOTHESIS; HYPOXEMIA; IMAGE ANALYSIS; KNEE ARTHROPLASTY; LEG SWELLING; LUNG DISEASE; LUNG EMBOLISM; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PILOT STUDY; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PROSPECTIVE STUDY; SUPRAVENTRICULAR TACHYCARDIA; TACHYCARDIA; THORAX PAIN;

ANOXIA; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; CAUSALITY; CHEST PAIN; COMORBIDITY; FEMALE; FEVER; HUMANS; INCIDENCE; LUNG; MALE; MIDDLE AGED; PILOT PROJECTS; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; PULMONARY EMBOLISM; TACHYCARDIA; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84859899960     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2011.10.019     Document Type: Article

References (46)

1. Fender D., Harper W.M., Thompson J.R., et al. Mortality and fatal pulmonary embolism after primary total hip replacement: results from a regional hip register. J Bone Joint Surg Br 1997, 79:896.
2. Parvizi J., Smith E.B., Pulido L., et al. The rise in the incidence of pulmonary embolus after joint arthroplasty: is modern imaging to blame?. Clin Orthop Relat Res 2007, 463:107.
3. Clayton R.A., Gaston P., Watts A.C., et al. Thromboembolic disease after total knee replacement: experience of 5100 cases. Knee 2009, 16:18.
4. Stein P.D., Hull R.D. Relative risks of anticoagulant treatment of acute pulmonary embolism based on an angiographic diagnosis vs a ventilation/perfusion scan diagnosis. Chest 1994, 106:727.
5. Kerr J., Linkins L.A. High incidence of in-hospital pulmonary embolism following joint arthroplasty with dalteparin prophylaxis. A chart review. Thromb Haemost 2010, 103:123.
6. The PIO D Investigators Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). JAMA 1990, 263:2753.
7. Schoepf U.J., Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology 2004, 230:329.
8. Stein P.D., Fowler S.E., Goodman L.R., et al. Multidetector computed tomography for acute pulmonary embolism. NEngl J Med 2006, 354:2317.
9. Mullins M.D., Becker D.M., Hagspiel K.D., et al. The role of spiral volumetric computed tomography in the diagnosis of pulmonary embolism. Arch Intern Med 2000, 160:293.
10. Rathbun S.W., Raskob G.E., Whitsett T.L. Sensitivity and specificity of helical computed tomography in the diagnosis of pulmonary embolism: a systematic review. Ann Intern Med 2000, 132:227.
11. Patel S., Kazerooni E.A., Cascade P.N. Pulmonary embolism: optimization of small pulmonary artery visualization at multi-detector row CT. Radiology 2003, 227:445.
12. Raptopoulos V., Boiselle P.M. Multi-detector row spiral CT pulmonary angiography: comparison with single-detector row spiral CT. Radiology 2001, 221:606.
13. Thomeer M.G., Pattynama P.M., Hartmann I.J., et al. High incidence of isolated subsegmental pulmonary emboli on multi-slice spiral CT: a comparative clinical study. J Thromb Haemost 2006, 95:914.
14. Miniati M., Prediletto R., Formichi B., et al. Accuracy of clinical assessment in the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 1999, 159:864.
15. Austin L., Pulido L., Ropiak R., et al. Hypoxemia after total joint arthroplasty: a problem on the rise. J Arthroplasty 2008, 23:1016.
16. Jones J.G., Sapsford D.J., Wheatley R.G. Postoperative hypoxaemia: mechanisms and time course. Anaesthesia 1990, 45:566.
17. Lawton R.L., Morrey B.F., Narr B.J. Validity of index of suspicion for pulmonary embolism after hip arthroplasty. Clin Orthop Relat Res 2003, 415:180.
18. Wells P.S., Anderson D.R., Rodger M., et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost 2000, 83:416.
19. Altman R., Asch E., Bloch D., et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 1986, 29:1039.
20. Sangha O., Stucki G., Liang M.H., et al. The self-administered comorbidity questionnaire: a new method to assess comorbidity for clinical and health services research. Arthitis Rheum 2003, 49:156.
21. Bhalla S., Lopez-Costa I. MDCT of acute thrombotic and nonthrombotic pulmonary emboli. Eur J Radiol 2007, 64:54.
22. Geerts W.H., Bergqvist D., Pineo G.F., et al. Prevention of venous thromboembolism. American College of chest physicians evidence-based clinical practice guidelines (8th Edition). Chest 2008, 133(Suppl 6):381S.
23. Dahl O.E., Andreassen G., Aspelin T., et al. Prolonged thromboprophylaxis following hip replacement surgery-results of a double-blind, prospective, randomised, placebo-controlled study with dalteparin (Fragmin). Thromb Haemost 1997, 77:26.
24. Dorr L.D., Sakimura I., Mohler J.G. Pulmonary emboli followed total hip arthroplasty: incidence study. J Bone Joint Surg Am 1979, 61:1083.
25. Guyer R.D., Booth R.E., Rothman R.H. The detection and prevention of pulmonary embolism in total hip replacement. A study comparing aspirin and low-dose warfarin. J Bone Joint Surg Am. 1982, 64:1040.
26. Harris W.H., McKusick K., Athanasoulis C.A., et al. Detection of pulmonary emboli after total hip replacement using serial C1502 pulmonary scans. J Bone Joint Surg Am 1984, 66:1388.
27. Westrich G.H., Haas S.B., Mosca P., et al. Meta-analysis of thromboembolic prophylaxis after total knee arthroplasty. J Bone Joint Surg Br 2000, 82:795.
28. Foley M., Maslack M.M., Rothman R.H., et al. Pulmonary embolism after hip or knee replacement: postoperative changes on pulmonary scintigrams in asymptomatic patients. Radiology 1989, 172:481.
29. Balderston R.A., Graham T.S., Booth R.E., et al. The prevention of pulmonary embolism in total hip arthroplasty: evaluation of low-dose warfarin therapy. J Arthroplasty 1989, 4:217.
30. Parmet J.L., Horrow J.C., Pharo G., et al. The incidence of venous emboli during extramedullary guided total knee arthroplasty. Anesth Analg 1995, 81:757.
31. Wolf L.R., Hozack W.J., Balderston R.A., et al. Pulmonary embolism. Incidence in primary cemented and uncemented total hip arthroplasty using low-dose sodium warfarin prophylaxis. J Arthroplasty 1992, 7:465.
32. Haas S.B., Tribus C.B., Insall J.N., et al. The significance of calf thrombi after total knee arthroplasty. J Bone Joint Surg Br 1992, 74:799.
33. Moriyama M., Watanabe S., Hiraki T., et al. Relationship between intraoperative transoesophageal echocardiography findings and perfusion lung scintigraphy results on first postoperative day. Br J Anaesth 2005, 94:607.
34. Kim Y.H., Kim J.S. Incidence and natural history of deep-vein thrombosis after total knee arthroplasty: a prospective, randomised study. J Bone Joint Surg Br 2002, 84:566.
35. Kim Y.H., Oh S.H., Kim J.S. Incidence and natural history of deep-vein thrombosis after total hip arthroplasty: a prospective and randomised clinical study. J Bone Joint Surg Br 2003, 85:661.
36. Bjornara B.T., Gudmundsen T.E., Dahl O.E. Frequency and timing of clinical venous thromboembolism after major joint surgery. J Bone Joint Surg Br 2006, 88:386.
37. Mantilla C.B., Horlocker T.T., Schroeder D.R., et al. Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology 2002, 96:1140.
38. Schiff R.L., Kahn S.R., Shrier I., et al. Identifying orthopedic patients at high risk for venous thromboembolism despite thromboprophylaxis. Chest 2005, 128:3364.
39. White R.H., Romano P.S., Zhou H., et al. Incidence and time course of thromboembolic outcomes following total hip or knee arthroplasty. Arch Intern Med 1998, 158:1525.
40. Warwick D., Friedman R.J., Agnelli G., et al. Insufficient duration of venous thromboembolism prophylaxis after total hip or knee replacement when compared with the time course of thromboembolic events. Findings from the Global Orthopaedic Registry. J Bone Joint Surg Br 2007, 89:799.
41. Kato N., Nakanishi K., Yoshino S., et al. Abnormal echogenic findings detected by transesophageal echocardiography and cardiorespiratory impairment during total knee arthroplasty with tourniquet. Anesthesiology 2002, 97:1123.
42. Hagio K., Sugano N., Takashina M., et al. Embolic events during total hip arthroplasty: an echocardiographic study. J Arthroplasty 2003, 18:186.
43. Church J.S., Scadden J.E., Gupta R.R., et al. Embolic phenomena during computer-assisted and conventional total knee replacement. J Bone Joint Surg Br 2007, 89:481.
44. Berman A.T., Parmet J.L., Harding S.P., et al. Emboli observed with use of transesophageal echocardiography immediately after tourniquet release during total knee arthroplasty with cement. J Bone Joint Surg Am 1998, 80:389.
45. Le Gal G., Righini M., Parent F., et al. Diagnosis and management of subsegmental pulmonary embolism. J Thromb Haemost 2006, 4:724.
46. Eyer B.A., Goodman L.R., Washington L. Clinicians' response to radiologists' reports of isolated subsegmental pulmonary embolism or inconclusive interpretation of pulmonary embolism using MDCT. AJR Am J Roentgenol 2005, 184:623.