Use of Rivaroxaban for Prevention of Venous Thromboembolic Complications in Elderly Patients after Hip Arthroplasty

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Abstract

Results of retrospective analysis of the efficacy and safety of venous thromboembolic complications prevention using anticoagulants (low-molecular-weight heparins and rivaroxaban) in elderly (over 75 years) patients after hip arthroplasty are presented. Ninety four patients were divided into 2 groups (n=47) depending on the applied anticoagulant. Follow up period was 6 months after hospitalization. Asymptomatic thrombosis was diagnosed by duplex ultrasonography only in 1 (2.1%) patient from low-molecular-weight heparin group. No one case of either bleeding or hemorrhage was recorded. It is stated that rivaroxaban ensured effective thromboprophylaxis and safety after hip arthroplasty in elderly patients when no restrictions related to the use of low-molecular-weight heparin injections are present.

About the authors

A. P Afanas’ev

European Clinic of Sports Traumatology and Orthopaedics

Email: aafanasiev@emcmos.ru
канд. мед. наук, врач травматолог-ортопед ECSTO; Тел.: +7 (495) 933-66-44 Moscow, Russia

A. A Kardanov

Peoples' Friendship University of Russia

доктор мед. наук, профессор кафедры травматологии, ортопедии и артрологии РУДН, зам. главного врача ECSTO Moscow, Russia

A. S Karandin

Peoples' Friendship University of Russia

аспирант кафедры травматологии, ортопедии и артрологии РУДН, врач ортопед-травматолог ECSTO Moscow, Russia

A. V Korolev

Peoples' Friendship University of Russia

доктор мед. наук, профессор каф. травматологии и ортопедии РУДН, главный врач ECSTO Moscow, Russia

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