THE USE OF ELECTROMYOSTIMULATION FOR THE PREVENTION OF VENOUS THROMBOEMBOLIC COMPLICATIONS

Abstract

This paper reports the results of the prospective uncontrolled study having the objective to preliminarily estimate the efficacy of the combined prophylactic treatment of postoperative venous thromboembolic complications. To this effect, the method of electrical stimulation of venous outflow was employed. The study included 30 patients undergoing general surgical or neurosurgical treatment referred to a group at high risk of venous thromboembolism in the postoperative period. The prophylactic treatment consisted of the placement of a graded compression bandage using moderate-stretch bandages and electrical stimulation of the calf muscles with the help of a “Veinopulse” apparatus (up to 5 sessions per day). All together, 73% of the patients received prophylactic doses of anticoagulation agents. None of them developed pulmonary thromboembolism. Deep vein thrombosis of the lower extremities was documented only in one patient. It is concluded that the frequency of postoperative venous thromboembolic complications under conditions of the proposed combined prophylactic treatment does not exceed 3.3% which is significantly lower than that reported for such patients in the literature.

Keywords

venous thrombosis / pulmonary embolism / prophylaxis / electrical stimulation / venous outflow

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