Inhibidores directos del Factor Xa para la prevención del tromboembolismo en pacientes sometidos a reemplazo total de cadera o de rodilla. Protocolo de una revisión sistemática

Ignacio Neumann, Gabriel Rada, Juan Carlos Claro, Alonso Carrasco, Kristian Thorlund, Elie A Akl, Shannon Bates, Gordon H Guyatt

Resumen


Los reemplazos articulares de cadera y la rodilla se encuentran entre los procedimientos quirúrgicos más comunes en América del Norte y Europa y están aumentando en frecuencia. La enfermedad tromboembólica es la complicación médica más frecuente en este tipo de pacientes. Por esta razón, las guías de práctica clínicas actuales recomiendan la tromboprofilaxis de rutina con heparinas de bajo peso molecular (HBPM), antagonistas de la vitamina K (AVK) o pentasacáridos sintéticos (fondaparinux) después de estos procedimientos.

Palabras clave


reemplazos articulares; cadera; rodilla; enfermedad tromboembólica

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Referencias


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DOI: http://dx.doi.org/10.11565/arsmed.v39i1.8



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