J Korean Radiol Soc.
2008 Feb;58(2):127-131. 10.3348/jkrs.2008.58.2.127.
Catheter Directed Thrombolysis for Deep Vein Thrombosis during the First Trimester of Pregnancy: Two Case Reports
- Affiliations
-
- 1Department of Radiology, College of Medicine, Yeungnam University, Korea. wkpark@ynu.ac.kr
- 2Department of Surgery, College of Medicine, Yeungnam University, Korea.
- 3Department of Radiology, Yeungnam University Medical Center, Korea.
- KMID: 2209115
- DOI: http://doi.org/10.3348/jkrs.2008.58.2.127
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.
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