Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series
Deep vein thrombosis (DVT) is a major health problem in pregnancy and postpartum period. Catheter-directed thrombolysis (CDT) is safe and effective in the management of symptomatic DVT. Value of CDT in postpartum DVT is not fully evaluated. We describe five patients presenting with acute iliofemoral...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-12-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215003454 |
| _version_ | 1818999816147959808 |
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| author | B.C. Srinivas Soumya Patra C.M. Nagesh Babu Reddy C.N. Manjunath |
| author_facet | B.C. Srinivas Soumya Patra C.M. Nagesh Babu Reddy C.N. Manjunath |
| author_sort | B.C. Srinivas |
| collection | DOAJ |
| description | Deep vein thrombosis (DVT) is a major health problem in pregnancy and postpartum period. Catheter-directed thrombolysis (CDT) is safe and effective in the management of symptomatic DVT. Value of CDT in postpartum DVT is not fully evaluated. We describe five patients presenting with acute iliofemoral DVT in their early postpartum period who were treated with mechanical thromboaspiration and CDT. The CDT was done using streptokinase infusion and unfractionated heparin. Percutaneous angioplasty was done in patients with symptomatic residual lesion following thrombolysis. Patients were discharged with oral anticoagulant and compression stockings. This approach was successful in all five cases. Percutaneous endovascular therapy using CDT, mechanical thromboaspiration, and balloon angioplasty is safe and effective in iliofemoral DVT in postpartum period. |
| first_indexed | 2024-12-20T22:23:26Z |
| format | Article |
| id | doaj.art-276f8b052e12496fb17cb2858a703653 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-20T22:23:26Z |
| publishDate | 2015-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-276f8b052e12496fb17cb2858a7036532022-12-21T19:24:53ZengElsevierIndian Heart Journal0019-48322015-12-0167S3S67S7010.1016/j.ihj.2015.08.002Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case seriesB.C. SrinivasSoumya PatraC.M. NageshBabu ReddyC.N. ManjunathDeep vein thrombosis (DVT) is a major health problem in pregnancy and postpartum period. Catheter-directed thrombolysis (CDT) is safe and effective in the management of symptomatic DVT. Value of CDT in postpartum DVT is not fully evaluated. We describe five patients presenting with acute iliofemoral DVT in their early postpartum period who were treated with mechanical thromboaspiration and CDT. The CDT was done using streptokinase infusion and unfractionated heparin. Percutaneous angioplasty was done in patients with symptomatic residual lesion following thrombolysis. Patients were discharged with oral anticoagulant and compression stockings. This approach was successful in all five cases. Percutaneous endovascular therapy using CDT, mechanical thromboaspiration, and balloon angioplasty is safe and effective in iliofemoral DVT in postpartum period.http://www.sciencedirect.com/science/article/pii/S0019483215003454AngioplastyCatheter-directed thrombolysisDeep vein thrombosisMechanical thromboaspirationPostpartum |
| spellingShingle | B.C. Srinivas Soumya Patra C.M. Nagesh Babu Reddy C.N. Manjunath Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series Indian Heart Journal Angioplasty Catheter-directed thrombolysis Deep vein thrombosis Mechanical thromboaspiration Postpartum |
| title | Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series |
| title_full | Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series |
| title_fullStr | Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series |
| title_full_unstemmed | Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series |
| title_short | Catheter-directed thrombolysis in management of postpartum lower limb deep venous thrombosis – A case series |
| title_sort | catheter directed thrombolysis in management of postpartum lower limb deep venous thrombosis a case series |
| topic | Angioplasty Catheter-directed thrombolysis Deep vein thrombosis Mechanical thromboaspiration Postpartum |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215003454 |
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