Venous thromboembolism after Diaphragm Pacing in amyotrophic lateral sclerosis. Issue 5 (24th September 2014)

• Record Type: Journal Article
• Authors: Rezania, Kourosh; Gottlieb, Ori; Guralnick, Amy; Prachand, Vivek; Sweitzer, Bobbie J.; Vigneswaran, Wickii; White, Steven R.; Roos, Raymond P.
• Is Part Of: Muscle & nerve. Volume 50:Issue 5(2014:Nov.)
• Page Start: 863
• Page End: 865
• Publication Date: 2014-09-24
• Subjects: Neuromuscular diseases -- Periodicals; Muscles -- Periodicals; Nerves -- Periodicals; 616.74
• DOI: 10.1002/mus.24420
• Languages: English
• ISSNs: 0148-639X

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <p> <italic>Introduction</italic>: 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. <italic>Methods</italic>: 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. <italic>Results</italic>: We report 2 patients with no symptoms of deep vein thrombosis (DVT) before the surgical procedure who then developed perioperative VTE. <italic>Conclusions</italic>: These patients highlight the need to consider preoperative screening for DVT and postoperative thromboprophylaxis in high‐risk ALS patients who undergo DPS placement. <italic>Muscle Nerve</italic><bold>50</bold>: 863–865, 2014</p> </abstract>