Caitlin W. Hicks, MD, MS, Natalia O. Glebova, MD, PhD, Kristen M

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Presentation transcript:

Risk of venous thromboembolic events following inferior vena cava resection and reconstruction Caitlin W. Hicks, MD, MS, Natalia O. Glebova, MD, PhD, Kristen M. Piazza, MSPAS, PA-C, Kristine Orion, MD, Phillip M. Pierorazio, MD, Ying Wei Lum, MD, Christopher J. Abularrage, MD, James H. Black, MD Journal of Vascular Surgery Volume 63, Issue 4, Pages 1004-1010 (April 2016) DOI: 10.1016/j.jvs.2015.09.020 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Depiction of inferior vena cava (IVC) reconstruction methods and distribution. Over the 15-year study period, 16 patients underwent primary IVC repair, 28 patients underwent patch IVC repair, and 21 patients underwent IVC graft reconstruction. This image is reproduced with permission of the Department of Art as Applied to Medicine in the Johns Hopkins University School of Medicine. Journal of Vascular Surgery 2016 63, 1004-1010DOI: (10.1016/j.jvs.2015.09.020) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Trends in inferior vena cava (IVC) reconstruction, venous thromboembolic (VTE) events, and VTE screening over time. There was a general upward trend in the number of IVC cases performed each year throughout the course of the study period, with similar upward trends in the number of VTE events and the number of screening duplex ultrasounds performed. Journal of Vascular Surgery 2016 63, 1004-1010DOI: (10.1016/j.jvs.2015.09.020) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Kaplan-Meier analysis of inferior vena cava (IVC) graft patency and survival. All-cause mortality was 21% (n = 3) among venous thromboembolic (VTE) patients, compared with 12% (n = 6) in patients without VTE events (P = .35 at 19.5 ± 3.3 months). Overall survival (A) and graft patency (B) did not significantly differ between groups. Confidence intervals for each curve are shown (shaded areas). Post-op, Postoperative. Journal of Vascular Surgery 2016 63, 1004-1010DOI: (10.1016/j.jvs.2015.09.020) Copyright © 2016 Society for Vascular Surgery Terms and Conditions