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机械取栓术治疗妊娠中期继发于May-Thurner综合征的髂股深静脉血栓形成

Mechanical thrombectomy for the management of iliofemoral deep venous thrombosis in the second trimester of pregnancy secondary to May-Thurner syndrome.

作者信息

Oza Palak, McGevna Moira, Ratner Molly, Garg Karan

机构信息

Sophie Davis Biomedical Education Program, CUNY School of Medicine, New York, NY.

New York University Grossman School of Medicine, New York, NY.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Aug 22;10(6):101609. doi: 10.1016/j.jvscit.2024.101609. eCollection 2024 Dec.

Abstract

Treatment of pregnancy-related venous thromboembolism is limited by considerations of the health risks to both the patient and fetus. Anticoagulation is the cornerstone treatment for pregnancy-related venous thromboembolism; however, early thrombus removal may be preferred for prompt symptom resolution and to decrease the risk of post-thrombotic syndrome. We report the successful treatment of a patient in the second trimester of pregnancy with symptomatic iliofemoral deep venous thrombosis and May-Thurner syndrome using percutaneous mechanical thrombectomy.

摘要

妊娠相关静脉血栓栓塞症的治疗受到对患者和胎儿健康风险考量的限制。抗凝是妊娠相关静脉血栓栓塞症的基础治疗方法;然而,早期清除血栓可能更有利于迅速缓解症状并降低血栓后综合征的风险。我们报告了一例成功治疗的病例,该患者处于妊娠中期,患有症状性髂股深静脉血栓形成和梅-图二氏综合征,采用了经皮机械性血栓切除术进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b305/11420508/ddb90c87428a/gr1.jpg

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