Factors related to morbidity and mortality of meningiomas resection‑associated venous thromboembolism (Review)

Georgakopoulou,Vasiliki Epameinondas; Mathioudakis,Nikolaos; Papalexis,Petros; Aravantinou-Fatorou,Aikaterini; Tarantinos,Kyriakos; Sklapani,Pagona; Trakas,Nikolaos; Spandidos,Demetrios A.; Fotakopoulos,George

doi:10.3892/mco.2023.2666

Factors related to morbidity and mortality of meningiomas resection‑associated venous thromboembolism (Review)

Authors:
- Vasiliki Epameinondas Georgakopoulou
- Nikolaos Mathioudakis
- Petros Papalexis
- Aikaterini Aravantinou-Fatorou
- Kyriakos Tarantinos
- Pagona Sklapani
- Nikolaos Trakas
- Demetrios A. Spandidos
- George Fotakopoulos
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Affiliations: Department of Infectious Diseases and COVID-19 Unit, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece, Department of Renal Transplantation, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece, Unit of Endocrinology, First Department of Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece, First Department of Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece, First Pulmonology Department, Sismanogleio Hospital, Athens 15126, Greece, Department of Biochemistry, Sismanogleio Hospital, Athens 15126, Greece, Laboratory of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece, Department of Neurosurgery, General University Hospital of Larisa, Larisa 41221, Greece
Published online on: July 19, 2023 https://doi.org/10.3892/mco.2023.2666
Article Number: 70
Copyright: © Georgakopoulou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Patients undergoing intracranial meningioma removal have been reported to have an increased risk of venous thromboembolism (VTE). The present study aimed to study meningioma operations and ascertain rates of postoperative VTE more closely and to find out the associated parameters with VTE‑related morbidity and mortality in meningioma patients following resection. This meta‑analysis included articles involving meningiomas surgery and postoperative VTE [thromboembolic complications: deep venous thrombosis (DVT) and pulmonary embolism (PE)] published in full‑text form between January 1980 and January 2021). Collected variables included: First author name, study period covered, publication year, total number of patients and age, number of males, surgical duration, body mass index (BMI), tumor location, proliferation marker for human tumor cells Ki‑67 and VTE‑related morbidity and mortality. After the initial search and applying all exclusion and inclusion criteria, five articles were left in the final article pool. The total number of patients was 6,505 who underwent surgery for meningiomas and 299 (4.5%) revealed postoperative VTE. The final results showed no potentially significant difference between the total sample and the postoperative VTE group in tumor location and proliferation marker Ki‑67 for human cells. By contrast, the results of the analysis for surgical duration and BMI showed a statistically significant difference. Patients who had experienced open surgery for meningiomas were associated with postoperative VTE. Furthermore, surgical duration and BMI were statistically significant VTE‑related parameters in patients who underwent meningioma surgery, showing an association with VTE‑related morbidity and mortality.

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