![]() If there is inadequate anticoagulation therapy during the time the blood flow is diverted from the operative area, thromboses will form proximal and distal to the clamps and subsequently in the operative area. Most of the operative procedures that are performed by vascular surgeons predispose the patient, at least at the site of the operative procedure, to thrombosis. Technical failures (badly diseased vessels, inadequate inflow or outflow, kinked or twisted grafts, etc) remain the most common cause of the early arterial reconstructive failures encountered by vascular surgeons and can be reduced with the appropriate preoperative planning and careful attention to operative detail. This review of hypercoagulable disorders is presented with the hope that the early recognition of these disorders will lead to the appropriate diagnosis and proper management of hypercoagulable-related thromboses. The vascular surgeon often participates in the management of hypercoagulable disorders. The hypercoagulable-related thromboses are usually venous but may, less often, be arterial, and the thromboses often are the cause of significant morbidity and mortality. ![]() During the past 40 years, a number of acquired and congenital hypercoagulable disorders have been described so that currently the cause for thrombotic events can be determined in many patients. The hypercoagulability component of the Virchow triad has, until recently, been poorly defined. Virchow postulated, approximately 150 years ago, that intravascular thrombosis was caused by changes of the vessel wall, by reduction in blood flow, and by alteration of the chemical composition of the blood. Thrombosis may be the most common cause of death in the United States. Journal of Vascular Surgery Cases, Innovations and Techniques. ![]() Journal of Vascular Surgery: Venous and Lymphatic.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |