Prevention, Surgery, Thrombosis
Conditions
Keywords
Statin, Vein
Brief summary
Reload of high dose statin may have potential for preventing deep vein thrombosis (DVT) in patients on statin undergoing total knee replacement arthroplasty. A body of evidence have been reported that reloading of atorvastatin have efficacy in reducing periprocedural myocardial infarction and contrast induced nephropathy. These effects are considered to be mainly due to their antioxidant anti-thrombotic and anti-inflammatory property. We, therefore, hypothesize that high dose atorvastatin re-loading may prevent DVT.
Interventions
High dose atorvastatin 80mg/day for 7days after index surgery (total knee replacement arthroplasty, TKRA). At the same time Enoxaparin 40mg SQ/day 12hr before TKRA and from 1day to 7day after TKRA should be administered.
Enoxaparin 40mg SQ/day 12hr before TKRA and on day 1 to day7 after TKRA should be administered.
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