지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.5
- 발행연도
- 2017.5
- 수록면
- 365 - 369 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Iliac vein compression is a known culprit of deep vein thrombosis (DVT). In contrast, the compression may prevent the pulmonary embolism (PE). The aim of this study was to evaluate the anatomic and clinical risk factors of PE in patients with lower extremity DVT.
Methods: PE was evaluated using chest computed tomography in patients with lower extremity DVT. The patients were classified into group I (DVT without PE) and group II (DVT with PE) and analyzed to clarify the anatomic and clinical risk factors associated with PE in patients with DVT. As the anatomic factor, the shortest length between the common iliac artery (CIA) and spinal body (SB) was measured. Statistical analyses utilized the multivariable logistic regression model, and receiver operating characteristic (ROC) curve analysis.
Results: We examined 114 patients (age; 62.7 ± 16.9 years, 41.7% men) with DVT with/without PE. The prevalence of concurrent DVT with PE was 52.6%. Blood tests showed no difference between the 2 groups. Of all the assessed patients’ characteristics, only infection was significantly and independently associated with PE (P = 0.04). The shortest length between CIA and SB was 6.7 ± 3.5 mm in group I and 11.3 ± 3.7 mm in group II (P < 0.001). ROC curve analysis showed that 7.6 mm was the cut-off value for the anatomic risk of PE.
Conclusion: Infection was significantly associated with concurrent DVT and PE. The shortest length between CIA and SB (<7.6 mm) may prevent PE in patients with DVT.
Methods: PE was evaluated using chest computed tomography in patients with lower extremity DVT. The patients were classified into group I (DVT without PE) and group II (DVT with PE) and analyzed to clarify the anatomic and clinical risk factors associated with PE in patients with DVT. As the anatomic factor, the shortest length between the common iliac artery (CIA) and spinal body (SB) was measured. Statistical analyses utilized the multivariable logistic regression model, and receiver operating characteristic (ROC) curve analysis.
Results: We examined 114 patients (age; 62.7 ± 16.9 years, 41.7% men) with DVT with/without PE. The prevalence of concurrent DVT with PE was 52.6%. Blood tests showed no difference between the 2 groups. Of all the assessed patients’ characteristics, only infection was significantly and independently associated with PE (P = 0.04). The shortest length between CIA and SB was 6.7 ± 3.5 mm in group I and 11.3 ± 3.7 mm in group II (P < 0.001). ROC curve analysis showed that 7.6 mm was the cut-off value for the anatomic risk of PE.
Conclusion: Infection was significantly associated with concurrent DVT and PE. The shortest length between CIA and SB (<7.6 mm) may prevent PE in patients with DVT.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
[학술지(정기간행물)] - Heit JA. / 2015 / Epidemiology of venous thromboembolism / Nat Rev Cardiol 12 : 464 ~ 474
[학술지(정기간행물)] - Heit JA. / 2005 / Venous thromboembolism : disease burden, outcomes and risk factors / J Thromb Haemost 3 : 1611 ~ 1617
[학술지(정기간행물)] - Jang MJ / 2011 / Incidence of venous thromboembolism in Korea : from the Health Insurance Review and Assessment Service database / J Thromb Haemost 9 : 85 ~ 91
[학술지(정기간행물)] - Meignan M / 2000 / Systematic lung scans reveal a high frequency of silent pulmonary embolism in patients with proximal deep venous thrombosis / Arch Intern Med 160 : 159 ~ 164
[학술지(정기간행물)] - Stein PD / 2010 / Silent pulmonary embolism in patients with deep venous thrombosis : a systematic review / Am J Med 123 : 426 ~ 431
[학술지(정기간행물)] - Heit JA. / 2005 / Venous thromboembolism : disease burden, outcomes and risk factors / J Thromb Haemost 3 : 1611 ~ 1617
[학술지(정기간행물)] - Jang MJ / 2011 / Incidence of venous thromboembolism in Korea : from the Health Insurance Review and Assessment Service database / J Thromb Haemost 9 : 85 ~ 91
[학술지(정기간행물)] - Meignan M / 2000 / Systematic lung scans reveal a high frequency of silent pulmonary embolism in patients with proximal deep venous thrombosis / Arch Intern Med 160 : 159 ~ 164
[학술지(정기간행물)] - Stein PD / 2010 / Silent pulmonary embolism in patients with deep venous thrombosis : a systematic review / Am J Med 123 : 426 ~ 431
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UCI(KEPA) : I410-ECN-0101-2018-514-000801167