Effect of intraoperative intermittent pneumatic compression on early postoperative deep vein thrombosis in meningioma surgery
TIAN Yuan
ZHANG Zhen
FANG Wei
WU Ni
Abstract：Objective To investigate the effect of intraoperative intermittent pneumatic compression(IPC)on early deep vein thrombosis(DVT)after meningioma surgery.Methods A total of 106 meningioma patients prospectively enrolled between October 2022 and December 2023 underwent craniotomy.They were randomized 1:1 into an observation group(n=53)and a control group(n=53).The control group received routine intraoperative care,while the observation group received additional IPC treatment during surgery.Bilateral lower-limb ultrasound was performed within 24 hours postoperatively to diagnose DVT.Results DVT occurred in 26 patients(24.53%)within 24 hours postoperatively,most commonly in the gastrocnemius vein(73.08%),followed by the peroneal vein(19.23%),posterior tibial vein(15.38%),popliteal vein(3.85%),and femoral vein(3.85%).Three cases(11.54%)involved two or more veins.The incidence of DVT within 7 days was significantly lower in the observation group(11.32%)than in the control group(37.74%,P=0.002).Multivariate logistic regression analysis showed that intraoperative IPC was a protective factor against DVT within 7 days after meningioma surgery(OR=0.147,95%CI 0.036～0.592,P=0.007).Conclusion Intraoperative IPC significantly reduces the risk of early DVT following craniotomy for meningioma and represents a safe and effective preventive approach.
Keywords：MeningiomaMicrosurgeryDeep vein thrombosisIntermittent pneumatic compression
Publication Date：2025-06-25
Online Publishing Date：2025-09-05(First online date of this platform, not the publication date of the document)
Pages：4( 360-363 )