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[Venous thrombectomy in pregnancy. A follow-up study]
1Gynaekologisk obstetrisk afdeling, Amtssygehuset i Gentofte.
Ugeskrift for Laeger
|November 24, 1999
Summary
Women treated for deep venous thrombosis during pregnancy with surgery and anticoagulation had successful subsequent pregnancies. This approach significantly reduced risks of re-thrombosis and chronic venous insufficiency compared to standard treatments.
Area of Science:
- Vascular Surgery
- Obstetrics
- Hematology
Context:
- Deep venous thrombosis (DVT) in pregnancy is a serious complication.
- Standard treatment (heparin, compression stockings) has a high incidence of chronic venous insufficiency (up to 65%).
- Operative thrombectomy for femoroiliacal venous thrombosis (FIVT) during pregnancy was evaluated.
Purpose:
- To assess the outcomes of subsequent pregnancies in women treated for FIVT with operative thrombectomy, arteriovenous fistula, and anticoagulation.
- To evaluate the frequency of venous insufficiency and re-thrombosis in these patients during and after pregnancy.
Summary:
- Thirty-nine pregnant women with FIVT underwent operative thrombectomy, fistula creation, and anticoagulation (1985-1993).
- Nineteen women had 25 subsequent pregnancies, closely monitored for venous complications.
- Follow-up showed successful pregnancies, no re-thrombosis, and low rates of chronic venous insufficiency (11/19 varicose veins, 9/19 closed iliaca).
Impact:
- Operative thrombectomy followed by anticoagulation appears to be a safe and effective treatment for FIVT in pregnancy.
- This approach offers a low risk of obstetrical complications and long-term venous insufficiency.
- Provides an alternative treatment strategy for pregnant women with FIVT.