Am J Perinatol 2006; 23(4): 219-222
DOI: 10.1055/s-2006-939534
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Iliofemoral-popliteal Phlebothrombosis in Twin Pregnancy Treated with Cesarean Section and Thrombectomy in the Same Act: A Case Report

Dubravko Habek1 , Mirna Vuković-Bobić2 , Zoran Popović2 , Mladen Pajtler3 , Tomislav Kulaš2 , Robert Selthofer2
  • 1Department of Obstetrics and Gynecology, School of Medicine, Zagreb University, Sveti Duh Hospital, Zagreb, Zagreb, Croatia
  • 2Department of Obstetrics and Gynecology, University Hospital Osijek, Osijek, Croatia
  • 3Department of Anaesthesiology, Reanimatology, and Intensive Therapy, University Hospital Osijek, Osijek, Croatia
Further Information

Publication History

Publication Date:
19 April 2006 (online)

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.

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