Neurological Surgery No Shinkei Geka Volume 44, Issue 12 (December 2016)

Association of Deep Venous Thrombosis with D-dimer Values in Patients with Hemorrhagic Stroke Atsushi ARAI 1 , Junji KOYAMA 1 , Taichiro IMAHORI 1 , Ryoji SHIOMI 1 , Hirofumi IWAHASHI 1 , Kazuhiro TANAKA 1 , Eiji KOHMURA 2 1Department of Neurosurgery, Toyooka Public Hospital 2Department of Neurosurgery, Kobe University School of Medicine Keyword: deep venous thrombosis , D-dimer , hemorrhagic stroke pp.1019-1023
Published Date 2016/12/10
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 Pulmonary embolism(PE)in the early phase of stroke worsens the prognosis. It is necessary to detect deep venous thrombosis(DVT)to avoid PE. We conducted the D-dimer screening in order to detect DVT at an earlier stage. We retrospectively analyzed the clinical data of patients with hemorrhagic stroke who were admitted to the local stroke center, and investigated the complication rates of DVT, PE, D-dimer values, and risk factors of DVT. From October 2012 to August 2014, 261 patients were included. DVT was detected in 46 patients(17.6%)and anticoagulant therapy was started in 5 patients with central DVT. PE did not occur during this observation period. The D-dimer cutoff value for estimating the presence of the DVT was 8.9μg/mL, and the risk factors for DVT were older age, severe neurological disability, prolonged hospital stays, and subarachnoid hemorrhage. D-dimer screening is very useful to make earlier diagnosis and treatment of DVT.

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Neurological Surgery 脳神経外科
44巻12号 (2016年12月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院