Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080


Turkish Journal of Vascular Surgery 2019 , Vol 28 , Issue 3
The prevalence of arterial and venous abnormalities in asymptomatic patients undergoing total knee arthroplasty
Halis Atıl Atilla1, Mutlu Akdoğan1
1Department of Orthopaedics and Traumatology, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey DOI : 10.9739/tjvs.2019.428 Objectives: This study aims to investigate the prevalence of venous and arterial diseases in asymptomatic patients undergoing total knee arthroplasty (TKA) and to evaluate possible surgery-related vascular complications.

Patients and methods: The data of a total of 96 extremities of 48 vascular asymptomatic patients (9 males, 39 females; mean age 65.7±51.8 years; range, 50 to 85 years) who underwent arterial and venous bilateral Doppler ultrasound examination between October 2017 and February 2018 were retrospectively analyzed. Stenosis of the arterial and venous system thrombosis and venous insufficiency were recorded.

Results: Although no significant vascular pathologies such as deep vein thrombosis or arterial occlusion were detected, minor vascular pathologies such as minimal atherosclerosis (29.2%) and venous reflux (25%) were found in patients scheduled for TKA.

Conclusion: In most patients, TKA operations can be performed without a vascular comorbidity; however, even asymptomatic patients may carry vascular risks. These silent patients can be identified by simple non-invasive tests. Patients under risk are supposed to be consulted with vascular surgery before the operation and can be operated in the hospital setting where a vascular surgery unit is available. Recognizing the silent group with color Doppler ultrasound can be helpful and feasible in patients undergoing TKA to reduce complication rate and to take precautions. Keywords : Arthroplasty, knee, pathology, peripheral, vascular