Venous Thromboembolism Management in Pregnant Patients.
Tech Vasc Interv Radiol
; 26(2): 100901, 2023 Jun.
Article
de En
| MEDLINE
| ID: mdl-37865451
ABSTRACT
Pulmonary embolism (PE) in pregnancy accounts for 10% of maternal deaths in the United States. As maternal morbidity and mortality continue to increase, it is imperative for all specialties interfacing with pregnant patients to understand the current research and guidelines surrounding risk stratification, diagnosis, and treatments of PE in pregnancy. Given the complexity of high-risk pregnancy-associated PE (PA-PE), that is, which is associated with hemodynamic instability or collapse, and the rising popularity of new technologies to treat high-risk PA-PE in the nonpregnant population, this review aims to emphasize the differences in diagnosis, risk stratification, and management of the pregnant and nonpregnant PE patients. Furthermore, this review will cover treatment paradigms that include anticoagulation versus advanced therapies such as systemic thrombolysis, surgical embolectomy, extracorporeal membrane oxygenation, and inferior vena cava disruption as well as the more novel therapies which fall under the umbrella term of catheter-based treatments. Finally, this review will include a case-based review of 2 patients with PA-PE requiring catheter-based therapies and their ultimate clinical outcomes.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Embolie pulmonaire
/
Maladies vasculaires
/
Thromboembolisme veineux
Limites:
Female
/
Humans
/
Pregnancy
Langue:
En
Journal:
Tech Vasc Interv Radiol
Sujet du journal:
ANGIOLOGIA
/
RADIOLOGIA
Année:
2023
Type de document:
Article