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Review
. 2022 Dec 7;18(807):2337-2340.
doi: 10.53738/REVMED.2022.18.807.2337.

[Hospital mechanical thromboprophylaxis]

[Article in French]
Sophie Ammane  1 , Frédéric Glauser  2 , Helia Robert-Ebadi  2 , Marc Righini  2 , Marc Blondon  2
Affiliations
Review

[Hospital mechanical thromboprophylaxis]

[Article in French]
Sophie Ammane et al. Rev Med Suisse. .

Abstract
in English, French

Mechanical thromboprophylaxis is an important part of hospital prevention of venous thromboembolism. It comprises graduated compression stockings and intermittent pneumatic compression. In this review, we summarize its physiological effect on venous hemodynamics, recent clinical studies that offer contrasting results, and discuss its utility in contemporary clinical practice. Mechanical thromboprophylaxis is currently suggested in patients at high thrombotic and hemorrhagic risk, favoring intermittent pneumatic compression, but does not seem useful in addition to pharmacological thromboprophylaxis.

La thromboprophylaxie mécanique est une composante importante de la prévention hospitalière de la maladie thromboembolique veineuse. Elle comprend la compression graduée par bas ou chaussettes et la compression pneumatique intermittente (CPIn). Dans cet article, nous résumons son effet veineux physiologique et revenons sur les études cliniques récentes qui offrent des résultats contrastés. Enfin, nous discutons de sa place en clinique contemporaine. La thromboprophylaxie mécanique est actuellement suggérée chez des patients à hauts risques thrombotique et hémorragique, en privilégiant la compression pneumatique intermittente, mais ne semble pas utile en plus d’une thromboprophylaxie pharmacologique.

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Conflict of interest statement

Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

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