- 著者
-
Nobuhiro Hara
Takamichi Miyamoto
Junji Yamaguchi
Takamasa Iwai
Sadahiro Hijikata
Keita Watanabe
Yuichiro Sagawa
Ryo Masuda
Ryoichi Miyazaki
Naoyuki Miwa
Masahiro Sekigawa
Tetsuo Yamaguchi
Yasutoshi Nagata
Toshihiro Nozato
Orie Kobayashi
Satoshi Umezawa
Toru Obayashi
- 出版者
- The Editorial Committee of Annals of Vascular Diseases
- 雑誌
- Annals of Vascular Diseases (ISSN:1881641X)
- 巻号頁・発行日
- vol.11, no.1, pp.106-111, 2018-03-25 (Released:2018-03-25)
- 参考文献数
- 27
- 被引用文献数
-
3
Objective: Although deep vein thrombosis (DVT) followed by pulmonary thromboembolism (PE) is a critical complication during pregnancy, there have been few reports about its intrapartum management. We evaluated intrapartum management by using a temporary inferior vena cava filter (IVCF) in pregnant women with PE/DVT.Materials and Methods: Eleven women with PE/DVT during pregnancy between January 2004 and December 2016 were included. The patients were hospitalized for intravenous unfractionated heparin infusion after acute PE/DVT onset. Seven patients were discharged and continued treatment with subcutaneous injection of heparin at the outpatient unit. IVCF was implanted 1–3 days before delivery in 10 patients. Anticoagulant therapy was discontinued 6–12 h before delivery. We retrospectively analyzed rates of maternal or perinatal death, and recurrence of symptomatic PE/DVT.Results: One patient was diagnosed as having PE/DVT and 10 had DVT alone. One patient suffered hemorrhagic shock during delivery; however, maternal or perinatal death and recurrence of symptomatic PE/DVT did not occur in any patient.Conclusion: Maternal or perinatal death and recurrence of symptomatic PE/DVT was not seen in women diagnosed as having PE/DVT during pregnancy and treated with anticoagulant therapy and IVCF.