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Open Access

Venous ligation versus venous repair: does the procedure impact venous thromboembolism risk?

Michael Steven Farrell, M Margaret Knudson, Deborah M Stein
DOI: 10.1136/tsaco-2021-000687 Published 18 March 2021
Michael Steven Farrell
Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA
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M Margaret Knudson
Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA
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Deborah M Stein
Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA
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Article Figures & Data

Tables

  • Table 1

    Demographics and injury distributions of treatment groups

    PopulationLigation (n=394)Repair (n=820)P value
    Gender (% male)90.588.60.3
    Age (years)29±1130±130.14
    ISS16±915±90.16
    SBP (%<90 mm Hg)27.624.70.36
    Heart rate (beats per minute)111±29106±280.01
    Glasgow Coma Scale13±413±40.31
    Mechanism (% blunt)14.124.60.0001
    Iliac vein injury count (%)139 (35)222 (27)<0.001
    Femoral vein injury count (%)168 (43)383 (47)
    Popliteal vein injury count (%)51 (13)163 (20)
    Distal vein injury count (%)36 (9)52 (63)
    • Means listed with SD. Percentages of injury location are based on columns. Significant p values bolded.

    • ISS, injury severity score; SBP, Systolic Blood Pressure on Presentation.

  • Table 2

    Comparison of DVT and PE rates based on anatomic location

    VeinProcedureDVT (%)OR95% CIPE (%)OR95% CI
    IliacLigation (n=139)8.60.630.32 to 1.280.70.310.04 to 2.73
    Repair (n=222)13.12.3
    FemoralLigation (n=168)13.11.370.78 to 2.391.32.30.45 to 11.32
    Repair (n=383)9.90.8
    PoplitealLigation (n=51)3.90.380.08 to 1.690––
    Repair (n=163)9.80
    DistalLigation (n=36)5.60.710.12 to 4.0800–
    Repair (n=52)7.71.9
    TotalLigation (n=394)9.60.90.6 to 1.3410.690.19 to 2.57
    Repair (n=820)10.61.1
    • DVT, deep vein thrombosis; PE, pulmonary embolism.

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Venous ligation versus venous repair: does the procedure impact venous thromboembolism risk?
Michael Steven Farrell, M Margaret Knudson, Deborah M Stein
Trauma Surg Acute Care Open Mar 2021, 6 (1) e000687; DOI: 10.1136/tsaco-2021-000687

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Venous ligation versus venous repair: does the procedure impact venous thromboembolism risk?
Michael Steven Farrell, M Margaret Knudson, Deborah M Stein
Trauma Surg Acute Care Open Mar 2021, 6 (1) e000687; DOI: 10.1136/tsaco-2021-000687
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Venous ligation versus venous repair: does the procedure impact venous thromboembolism risk?
Michael Steven Farrell, M Margaret Knudson, Deborah M Stein
Trauma Surgery & Acute Care Open Mar 2021, 6 (1) e000687; DOI: 10.1136/tsaco-2021-000687
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