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Venous thromboembolism after diaphragm pacing in amyotrophic lateral sclerosis.

Rezania, Kourosh; Gottlieb, Ori; Guralnick, Amy; Prachand, Vivek; Sweitzer, Bobbie J; Vigneswaran, Wickii; White, Steven R; Roos, Raymond P.
Muscle Nerve; 50(5): 863-5, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25111569

INTRODUCTION:

Patients with amyotrophic lateral sclerosis (ALS) are prone to venous thromboembolism (VTE) and secondary complications. Because there is an increased incidence of VTE after surgical procedures, placement of a Diaphragm Pacing System (DPS) in ALS patients as treatment for respiratory muscle weakness could potentially increase the incidence of VTE, especially in patients with limited mobility.

METHODS:

We implanted a DPS in 10 ALS patients who met the criteria for this procedure. They underwent a preoperative evaluation as recommended by the guidelines.

RESULTS:

We report 2 patients with no symptoms of deep vein thrombosis (DVT) before the surgical procedure who then developed perioperative VTE.

CONCLUSIONS:

These patients highlight the need to consider preoperative screening for DVT and postoperative thromboprophylaxis in high-risk ALS patients who undergo DPS placement.
Selo DaSilva