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DOI: 10.1055/s-0038-1649098
Trial of Aspirin and RA 233 in Prevention of Post-operative Deep Vein Thrombosis
Publication History
Received for publication
08 May 1973
Accepted for publication
17 June 1973
Publication Date:
30 June 2018 (online)
Summary
Although the oral anticoagulants provide effective prophylaxis against postoperative deep vein thrombosis following fracture of neck of femur there is a need for an antithrombotic agent which needs less laboratory control and does not cause haemorrhagic complications. It has been suggested that drugs causing inhibition of platelet function may fulfil these requirements. A controlled trial was carried out in which aspirin, RA 233, or a combination of these drugs was compared with a placebo in the prevention of post-operative deep vein thrombosis. In thirty patients undergoing surgery for fractured neck of femur the incidence of post-operative calf vein thrombosis, as detected by 125I-fibrinogen scanning, was not significantly different between the untreated and treated groups.
* Present address : Department of Medicine, The General Infirmary, Leeds.
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References
- 1 Atkins P, and Hawkins L. A. 1968; The Diagnosis of Deep-Vein Thrombosis in the Leg Using 125I-Fibrinogen. British Journal of Surgery 55: 825.
- 2 Bennet P. N, Dhall D. P, and Matheson N. A. 1968; Effect of Dextran 70 Infusion on Platelet Adhesiveness after Operation. British Journal of Surgery 55: 289.
- 3 Bonnae J, and Walsh J. 1972; Prevention of Thrombosis after Pelvic Surgery by British Dextran 70. Lancet 1: 614.
- 4 Breddin K, and Sharker I. 1972 Clinical Experience with Acetylsalicylic Acid as an Anti-Thrombotic Agent. Abstract, III Congress International Society on Thrombosis and Haemostasis, Washington, p. 414.
- 5 Browse N. L, and Hall J. H. 1969; Effect of Dipyridamole on the Incidence of Clinically Detectable Deep-Vein Thrombosis. Lancet 2: 718.
- 6 Browse N. L, and Negus D. 1970; Prevention of Post-operative Leg Vein Thrombosis by Electrical Muscle Stimulation. An Evaluation with 125I-labelled Fibrinogen. British Medical Journal 3: 615.
- 7 Calnan J. S, Pflug J.J, and Mills C. J. 1970; Pneumatic Intermittent Compression Legging Simulating Calf Muscle Pump. Lancet 2: 502.
- 8 Doran F. S. A, Drury M, and Sivyer A. 1964; A Simple Way to Combat the Venous Stasis which Occurs in the Lower Limbs during Surgical Operations. British Journal of Surgery 51: 486.
- 9 Doran F. S. A, and White H. M. 1967; A Demonstration that the Risk of Post-operative Deep Venous Thrombosis is Reduced by Stimulating the Calf Muscles Electrically During the Operation. British Journal of Surgery 54: 686.
- 10 Flanc C, Kakkar V. V, and Clark M. B. 1968; The Detection of Venous Thrombosis of the Legs Using 125I-labelled Fibrinogen. British Journal of Surgery 55: 742.
- 11 Harris W. H, Salzman E. W, and De Sanctis R. W. 1967; The Prevention of Thromboembolic Disease by Prophylactic Anticoagulation. Journal of Bone and Joint Surgery 49A: 81.
- 12 Hassanein A. A, Turpie A. G. G, McNicol G. P, and Douglas A. S. 1970; Effect of RA 233 on Platelet Function in Vitro. British Medical Journal 2: 83.
- 13 Hills N.H, Pflug J. J, Jeyasingh K, Boardman L, and Calnan J. S. 1972; Prevention of Deep Vein Thrombosis by Intermittent Pneumatic Compression of Calf. British Medical Journal 1: 131.
- 14 Kakkar V. V, Corrigan T, Spindler J, Fossard D. P, Flute P. T, Crellin R. Q, Wessler S, and Yin E. T. 1972; Efficacy of Low Doses of Heparin in Prevention of Deep-Vein Thrombosis after Major Surgery. Lancet 2: 101.
- 15 Kakkar V. V, Field E. S, Nicolaides A. N, Flute P. T, Wessler S, and Yin E. T. 1971; Low Doses of Heparin in Prevention of Deep Vein Thrombosis. Lancet 2: 669.
- 16 Lambie J.M, Barber D. C, Dhall D. P, and Matheson N. A. 1970; Dextran 70 in Prophylaxis of Post-operative Venous Thrombosis. A Controlled Trial. British Medical Journal 2: 144.
- 17 Lindsay R. M, Prentice C. R. M, Ferguson D, Burton J. A, and McNicol G. P. 1972; Reduction of Thrombus Formation on Dialyser Membranes by Aspirin and RA 233. Lancet 2: 1287.
- 18 Negus D, Pinto D. J, Le Quesne L. P, Brown N, and Chapman M. 1968; 125I-labelled Fibrinogen in the Diagnosis of Deep-Vein Thrombosis and its Correlation with Phlebography. British Journal of Surgery 55: 835.
- 19 O’Brien J. R. 1968; Effects of Salicylates on Human Platelets. Lancet 1: 779.
- 20 O’Sullivan E. F, and Renney J. T. G. 1972 Anti-platelet Drugs in the Prevention of Postoperative Deep-Vein Thrombosis. Abstract, III Congress International Society on Thrombosis and Haemostasis, Washington, p. 438.
- 21 Report of Steering Committee. 1972; Effect of Aspirin on Post-operative Venous Thrombosis. Lancet 2: 441.
- 22 Sabri S, Roberts V. C, and Cotton L. T. 1971; Prevention of Early Post-operative Deep Vein Thrombosis, by Passive Exercise of Leg During Surgery. British Medical Journal 3: 82.
- 23 Salzman E. W, Harris W. H, and De Sanctis R. W. 1966; Anticoagulation for Prevention of Thromboembolism Following Fractures of the Hip. New England Journal of Medicine 275: 122.
- 24 Salzman E. W, Harris W. H, and De Sanctis R. W. 1971; Reduction in Venous Thromboembolism by Agents Affecting Platelet Function. New England Journal of Medicine 284: 1287.
- 25 Sevitt S. 1968; Thrombo-embolism and its Prevention. Proceedings of the Royal Society of Medicine 61: 143.
- 26 Sevitt S, and Gallagher N. G. 1959; Prevention of Venous Thrombosis and Pulmonary Embolism in Injured Patients. Lancet 2: 981.
- 27 Stuart R. K. 1970; Platelet Function Studies in Human Beings Receiving 300 mg. of Aspirin per day. Journal of Laboratory and Clinical Medicine 75: 463.
- 28 Weiss H. J, and Aledort L. M. 1967; Impaired Platelet Connective Tissue Reaction in Man after Aspirin Ingestion. Lancet 2: 495.
- 29 Williams H. T. 1971; Prevention of Post-operative Deep-Vein Thrombosis with Peri-operative Subcutaneous Heparin. Lancet 2: 950.
- 30 Wood E. H, Prentice C. R. M, and McNicol G. P. 1972; Association of Fibrinogen fibrin-related Antigen (F. R.-antigen) with Post-operative Deep-vein Thrombosis and Systemic Complications. Lancet 1: 166.
- 31 Zucker M. B, and Peterson J. 1968; Inhibition of Adenosine Diphosphate-induced Secondary Aggregation and Other Platelet Functions by Acetylsalicylic Acid Ingestion. Proceedings of the Society of Experimental and Biological Medicine 127: 547.