Catheter Directed Thrombolysis for Deep Vein Thrombosis during the First Trimester of Pregnancy: Two Case Reports.
10.3348/jkrs.2008.58.2.127
- Author:
Kum Rae KIM
1
;
Won Kyu PARK
;
Jae Woon KIM
;
Woo Hyung KWUN
;
Bo Yang SUH
;
Kyeong Seok PARK
Author Information
1. Department of Radiology, College of Medicine, Yeungnam University, Korea. wkpark@ynu.ac.kr
- Publication Type:Case Report
- Keywords:
Pregnancy;
Venous thrombosis;
Thrombolytic theraphy;
Pregnancy complications, cardiovascular
- MeSH:
Angioplasty;
Catheters;
Extremities;
Female;
Heparin;
Humans;
Lower Extremity;
Pregnancy;
Pregnancy Complications, Cardiovascular;
Pregnancy Trimester, First;
Stents;
Thrombosis;
Veins;
Venous Thrombosis;
Venous Valves
- From:Journal of the Korean Radiological Society
2008;58(2):127-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anticoagulation with heparin has been the standard management therapy of deep vein thrombosis during pregnancy. Pregnancy is generally considered as a contraindication for thrombolysis. However, anticoagulation therapy alone does not protect the limbs from post-thrombotic syndrome and venous valve insufficiency. Catheter-directed thrombolysis, combined with angioplasty and stenting, can remove the thrombus and restore patency of the veins, resulting in prevention of post-thrombotic syndrome and valve insufficiency. We report successful catheter-directed thrombolysis and stenting in two early gestation patients with a deep vein thrombosis of the left lower extremity.
