J Spandorfer

Publications (5)61.43 Total impact

• Article: Epidemiology of venous thromboembolic disease.

  V Kim, J Spandorfer
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  ABSTRACT: From the information presented in this article, it can be concluded that clinical suspicion of VTE should be increased in patients with a history of VTE, recent surgery, spinal cord injury, trauma, or malignancy. A variety of medical illnesses also increase the risk of venous thrombosis, including congestive heart failure, myocardial infarction, stroke with paresis, nephrotic syndrome, cigarette smoking, and obesity. Hypercoagulable states, such as antithrombin III deficiency, protein C deficiency, protein S deficiency, or factor V Leiden mutation should be considered in those patients who develop VTE in the absence of known risk factors. Additionally, the presence of vena caval filters does not exclude the possibility of PE or recurrent DVT. With a careful assessment of risk, physicians can hope to increase the diagnostic yield of VTE and decrease the significant morbidity and mortality of caused by this disease.
  Emergency Medicine Clinics of North America 12/2001; 19(4):839-59. · 0.86 Impact Factor
• Article: The management of anticoagulation before and after procedures.

  J Spandorfer
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  ABSTRACT: Patients maintained on warfarin for atrial fibrillation, mechanical heart valves, or deep venous thrombosis may occasionally need to stop their anticoagulation during invasive procedures. This article reviews the literature on bleeding risks of certain procedures, thrombosis risks of stopping anticoagulation, and heparin and warfarin pharmacokinetics. Recommendations regarding how to manage anticoagulated patients are discussed.
  Medical Clinics of North America 10/2001; 85(5):1109-16, v. · 2.47 Impact Factor
• Article: Anticoagulation and elective surgery.

  J Spandorfer, G Merli
  New England Journal of Medicine 10/1997; 337(13):938-9; author reply 939-40. · 53.30 Impact Factor
• Article: The outpatient with unilateral leg swelling.

  G J Merli, J Spandorfer
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  ABSTRACT: Approaching the patient with unilateral leg swelling presents a challenge to the physician in ambulatory practice. Contributing to the difficulty is the lack of studies that have assessed a population of patients presenting with unilateral leg swelling. The purpose of this article is to discuss unilateral leg swelling with respect to the chronicity of the presentation and the most common differential diagnoses based on a review of the current literature and personal clinical experience.
  Medical Clinics of North America 04/1995; 79(2):435-47. · 2.47 Impact Factor
• Article: Diagnosis and assessment of leg ulcers.

  G J Merli, L Robinson, J Spandorfer, R Paluzzi
  Clinics in Dermatology 12(1):11-7. · 2.33 Impact Factor