Format

Send to:

Choose Destination
See comment in PubMed Commons below
Muscle Nerve. 2014 Nov;50(5):863-5. doi: 10.1002/mus.24420. Epub 2014 Sep 24.

Venous thromboembolism after diaphragm pacing in amyotrophic lateral sclerosis.

Author information

  • 1Department of Neurology, University of Chicago Medical Center, 5841 S. Maryland Avenue, MC 2030, Chicago, Illinois, 60637 USA.

Abstract

INTRODUCTION:

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.

METHODS:

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.

RESULTS:

We report 2 patients with no symptoms of deep vein thrombosis (DVT) before the surgical procedure who then developed perioperative VTE.

CONCLUSIONS:

These patients highlight the need to consider preoperative screening for DVT and postoperative thromboprophylaxis in high-risk ALS patients who undergo DPS placement.

© 2014 Wiley Periodicals, Inc.

KEYWORDS:

ALS; DPS; DVT; VTE; pulmonary embolism

PMID:
25111569
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for John Wiley & Sons, Inc.
    Loading ...
    Write to the Help Desk