ABSTRACT
A case is presented of a 39-year-old primigravida who developed iliofemoral-popliteal
thrombosis in the 34th week of twin pregnancy. Thrombectomy by use of a Fogarty catheter
with previous protection from thrombus embolization by proximal placement of temporary
occlusion was performed at the same time as the cesarean section for completion of
premature delivery.
KEYWORDS
Phlebothrombosis - pregnancy - thrombectomy
REFERENCES
- 1 Heyl W, Rath W.
Thromboembolische Erkrankungen in der Schwangerschaft, nach Kaiserschnitt und im Wochenbett. In: Rath W, Heilmann L Gerinnungsstorungen in Gynakologie und Geburtshilfe. Stuttgart;
Georg Thieme Verlag 1999: 132-144
- 2
Gherman R B, Goodwin T M, Leung B, Byrne J D, Hethumumi R, Montoro M.
Incidence, clinical characteristics, and timing of objectively diagnosed venous thromboembolism
during pregnancy.
Obstet Gynecol.
1999;
94
730-734
- 3 American College of Obstetricians and Gynecologists .Thromboembolism in pregnancy. ACOG
Practice Bulletin No. 19 Washington; August 2000
- 4
Lensing A WA, Prandoni P, Brandjes D et al..
Detection of deep-venous thrombosis by real-time B-mode ultrasonography.
N Engl J Med.
1989;
320
342-345
- 5
Turrentine M A, Braems G, Ramirez M M.
Use of thrombolytics for the treatment of thromboembolic disease.
Obstet Gynecol Surv.
1995;
50
534-541
- 6
Aburahma A F, Mullins D A.
Endovascular caval interruption in pregnant patients with deep vein thrombosis of
the lower extremity.
J Vasc Surg.
2001;
33
375-378
- 7
Neri E, Civeli L, Benvenuti A et al..
Protected iliofemoral venous thrombectomy in a pregnant woman with pulmonary embolism
and ischemic venous thrombosis.
Tex Heart Inst J.
2002;
29
130-132
- 8
Gutt C N, Oniu T, Wolkener F, Mehrabi A, Mistry S, Buchler M W.
Prophylaxis and treatment of deep vein thrombosis in general surgery.
Am J Surg.
2005;
189
14-22
- 9
Torngren S, Hjertberg R, Rosfors S, Bremme K, Eriksson M, Swedenborg J.
The long-term outcome of proximal vein thrombosis during pregnancy is not improved
by the addition of surgical thrombectomy to anticoagulant treatment.
Eur J Vasc Endovasc Surg.
1996;
12
31-36
- 10
Fruhwirth J, Gutschi S, Amann W, Luschin-Ebengreuth G, Uggowitzer M.
Results of surgical treatment of pregnancy-associated pelvic vein.
Z Geburtshilfe Neonatol.
1997;
201
91-94
Dubravko HabekM.D. Ph.D.
Department of Obstetrics and Gynecology, School of Medicine, Zagreb University, Sveti
Duh Hospital Zagreb
Sveti Duh 64, HR-10000 Zagreb, Croatia