Srinivas B C, Patra Soumya, Nagesh C M, Reddy Babu, Manjunath C N
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, 560069, India.
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, 560069, India.
Indian Heart J. 2015 Dec;67 Suppl 3(Suppl 3):S67-70. doi: 10.1016/j.ihj.2015.08.002. Epub 2016 Jan 15.
Deep vein thrombosis (DVT) is a major health problem in pregnancy and postpartum period. Catheter-directed thrombolysis (CDT) is safe and effective in the management of symptomatic DVT. Value of CDT in postpartum DVT is not fully evaluated. We describe five patients presenting with acute iliofemoral DVT in their early postpartum period who were treated with mechanical thromboaspiration and CDT. The CDT was done using streptokinase infusion and unfractionated heparin. Percutaneous angioplasty was done in patients with symptomatic residual lesion following thrombolysis. Patients were discharged with oral anticoagulant and compression stockings. This approach was successful in all five cases. Percutaneous endovascular therapy using CDT, mechanical thromboaspiration, and balloon angioplasty is safe and effective in iliofemoral DVT in postpartum period.
深静脉血栓形成（DVT）是妊娠和产后时期的一个主要健康问题。导管定向溶栓（CDT）在有症状的DVT治疗中是安全有效的。CDT在产后DVT中的价值尚未得到充分评估。我们描述了5例产后早期出现急性髂股DVT的患者，他们接受了机械性血栓抽吸和CDT治疗。CDT采用链激酶输注和普通肝素进行。溶栓后有症状残留病变的患者进行了经皮血管成形术。患者出院时服用口服抗凝剂并穿戴弹力袜。这种方法在所有5例患者中均取得成功。在产后髂股DVT中，使用CDT、机械性血栓抽吸和球囊血管成形术的经皮血管内治疗是安全有效的。
