Deep Vein Thrombosis, Prevention, Thrombosis, Venous
Conditions
Keywords
Thrombosis, Vein, Statin, Prevention
Brief summary
Deep vein thrombosis (DVT)is devastating disease which influencing the mortality and morbidity of patients at-risk like those undergoing orthopedic surgery. Recent publication suggested HMO-co-A reductase inhibitor (statin) may reduce the occurrence rate of venous thromboembolism in apparently healthy persons. The pleiotropic property of statin like antioxidant, antithrombotic, anti-inflammatory may have effect on the positive results. We are investigating whether rosuvastatin is associated with lower incidence of deep vein thrombosis (DVT) in patients undergoing total knee replacement arthroplasty(TKRA)who are at-high risk for developing DVT
Interventions
Rosuvastatin 20mg/day for 7days before and 7days after index surgery (total knee replacement arthroplasty, TKRA) Enoxaparin 40mg SQ/day 12hr before TKRA and from 1day to 7day after TKRA should be administered at the same time with rosuvastatin.
enoxaparin 40mg sq/day only starting 12hr before TKRA and from on day 1 to 7 after index surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who are going to receive total knee replacement arthroplasty from any cause. * \< 19 years old
Exclusion criteria
* patients with cancer * Patients receiving anticoagulant agents from any cause * current statin users * expecting survival from other co-morbidity \< 1year * Bed ridden patient * AST, ALT \> 3times of upper normal limit * CK\> upper normal limit * pregnancy * patients who receives hormone replacement therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Development of deep vein thrombosis diagnosed and confirmed by CT angiography at lower extremities | 7days after index surgery |
Secondary
| Measure | Time frame |
|---|---|
| D-dimer, lipid panel (Total cholesterol, TG, HDL, LDL), hsCRP, CK, transaminase, ALP | 7days, 1month, 2month after index surgery |
Countries
South Korea