Épisode 15 : Étude EPCAT-II
Aspirine ou rivaroxaban comme thromboprophylaxie après une chirurgie orthopédique élective (étude EPCAT-II)
Diffusé le 26 mars 2018
Dans cette 15e baladodiffusion, le Dr Luc Lanthier discute de thromboprophylaxie après une chirurgie orthopédique de PTH ou PTG élective et de la place de l’aspirine par rapport au traitement standard à base d’anticoagulant, en plus de réviser la littérature médicale de février 2018.
Référence principale
Anderson DR, Dunbar M, Murnaghan J, Kahn SR, Gross P, Forsythe M, et al. Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty. N Engl J Med. 2018;378(8):699-707. PubMed PMID: 29466159.
Articles associés
Falck-Ytter Y, Francis CW, Johanson NA, Curley C, Dahl OE, Schulman S, et al. Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e278S-e325S. PubMed PMID: 22315265.
Anderson DR, Dunbar MJ, Bohm ER, et al. Aspirin versus low-molecular-weight heparin for extended venous thromboembolism prophylaxis after total hip arthroplasty: a randomized trial. Ann Intern Med. 2013;158(11):800-6. PubMed PMID: 23732713
The Pulmonary Embolism Prevention (PEP) Trial Collaborative Group. Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: Pulmonary Embolism Prevention (PEP) trial. Lancet. 2000; 355(9212):1295-302. PubMed PMID: 10776741.
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Freund Y, Cachanado M, Aubry A, Orsini C, Raynal PA, Feral-Pierssens AL, et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. JAMA. 2018;319(6):559-66. PubMed PMID: 29450523.
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Graham MM, Sessler DI, Parlow JL, Biccard BM, Guyatt G, Leslie K, et al. Aspirin in Patients With Previous Percutaneous Coronary Intervention Undergoing Noncardiac Surgery. Ann Intern Med. 2018;168(4):237-44. PubMed PMID: 29132159.
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