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KMID : 1103720080580020127
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Journal of the Korean Society of Radiology
2008 Volume.58 No. 2 p.127 ~ p.131
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Catheter Directed Thrombolysis for Deep Vein Thrombosis during the First Trimester of Pregnancy: Two Case Reports
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Kim Kum-Rae
Kwun Woo-Hyung
Suh Bo-Yang
Kim Jea-Woon
Park Won-Kyu
Park Kyeong-Seok
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Abstract
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Anticoagulation with heparin has been the standard management therapy of deep vein thrombosis during pregnancy. Pregnancy is generally considered as a contraindication for thrombolysis. However, anticoagulation therapy alone does not protect the limbs from post-thrombotic syndrome and venous valve insufficiency. Catheter-directed thrombolysis, combined with angioplasty and stenting, can remove the thrombus and restore patency of the veins, resulting in prevention of post-thrombotic syndrome and valve insufficiency. We report successful catheter-directed thrombolysis and stenting in two early gestation patients with a deep vein thrombosis of the left lower extremity.
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KEYWORD
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Pregnancy, Venous thrombosis, Thrombolytic theraphy, Pregnanacy complications, cardiovascular
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