Venous Thromboembolism after Brain Tumor Surgery: A Retrospective Review

Author:

Levi Allan D. O.1,Wallace Christopher M.1,Bernstein Mark1,Walters Beverly C.2

Affiliation:

1. Division of Neurosurgery, The Toronto Hospital, Toronto, Ontario, Canada

2. Division of Neurosurgery and Clinical Epidemiology Unit, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada

Abstract

Abstract We retrospectively reviewed the incidence rate of clinical postoperative deep vein thrombosis and/or pulmonary embolism in 1703 patients undergoing initial craniotomy for meningioma, glioma, or cerebral metastasis. The incidence rate of clinical thromboembolic complications was 1.59% for all tumor groups within the first 4 weeks of surgery. Patients undergoing surgery for meningiomas had a statistically significant increased risk of thromboembolism despite fewer overall perioperative risk factors, when compared with the other tumor groups. The tumor-specific incidence rates of deep vein thrombosis and/or pulmonary embolism for meningioma, glioma, and metastasis were 3.09%, 0.97%, and 1.03%, respectively. Whether this difference was a result of increased surgical time or an inherent property of meningiomas could not be ascertained.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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