The long-term outcome of proximal vein thrombosis during pregnancy is not improved by the addition of surgical thrombectomy to anticoagulant treatment
| Autor: | J. Swedenborg, Stefan Rosfors, S. Törngren, M. Eriksson, K. Bremme, R. Hjertberg |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Pregnancy Complications Cardiovascular Physical examination Iliac Vein Colour Duplex Pregnancy Venous thrombosis medicine Plethysmograph Humans Registries Ultrasonography Doppler Color Vascular Patency Retrospective Studies Thrombectomy Medicine(all) medicine.diagnostic_test business.industry Ultrasound Anticoagulants Retrospective cohort study Thrombosis Puerperal Disorders Femoral Vein Middle Aged medicine.disease Combined Modality Therapy Surgery Vein thrombosis Plethysmography Treatment Outcome Anticoagulant therapy Anesthesia Case-Control Studies Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 12(1) |
| ISSN: | 1078-5884 |
| Popis: | Objectives: To compare the long-term outcome for pregnant/puerperal women with iliofemoral venous thrombosis treated either with thrombectomy and additional anticoagulants or with anticoagulants alone. Design: Retrospective study of two treatment methods. Materials: Thirty women with iliofemoral venous thrombosis during pregnancy or puerperium were treated with thrombectomy and additional anticoagulants. Twenty-five women, with the same condition, treated with anticoagulants only were obtained from a registry. The mean follow-up time for both groups was 9 years. The patients of the two groups were well matched, had the same risk factor score and were comparable except for duration of symptoms before treatment. Methods: The follow-up comprised history and clinical examination, colour Duplex ultrasound and venous strain-gauge plethysmography. Results: Patency of iliac veins, symptoms of chronic venous disease, venous emptying and venous reflux did not differ between the groups. A significant reduction of outflow was found in 20% of the surgically treated patients and 16% of the controls. Impaired muscle pump function was seen in less than half of the patients in both groups. Conclusions: Surgical thrombectomy does not offer any advantage over anticoagulation treatment alone in the long-term outcome for patients with iliofemoral venous thrombosis during pregnancy or puerperium. |
| Databáze: | OpenAIRE |
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