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Updated: Aug 21, 2026

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
Published on: July 9, 2020
Pregnancy and delivery after right common carotid artery endarterectomy
Filiberto M Severi1, Erika Ignacchiti, Francesco Setacci
1Obstetrics and Gynecology, Department of Pediatrics, Obstetrics and Reproductive Medicine, and Vascular Surgery, University of Siena, Siena, Italy.
Background:
Carotid artery atherosclerosis and essential hypercholesterolemia can add a predisposing risk factor for coagulation in pregnancy. Careful management of anticoagulation during labor, delivery, and puerperium is called for in such a case.
Case:
A 41-year-old woman, gravida 2, para 1, with a previous endarterectomy at the right common carotid artery because of atherosclerotic plaques, underwent anticoagulation studies and prophylactic antithrombotic therapy. Low-molecular-weight heparin was administrated during pregnancy and puerperium. She successfully delivered by cesarean at 36 weeks of gestation.
Conclusion:
Low-molecular-weight heparin treatment is an effective and safe therapy in pregnancy. The healthy course of therapy, delivery, and puerperium reported here is a reference that may support women with a similar history.
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