Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails

The authors present a case of a 27-year-old multiparous woman, with multiple thrombophilia, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter. At 15th week of gestation, following an acute deep venous thrombosis of the right inferior limb, anticoag...

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Main Authors: Sara Valadares, Fátima Serrano, Rita Torres, Augusta Borges
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2013/821635
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author Sara Valadares
Fátima Serrano
Rita Torres
Augusta Borges
author_facet Sara Valadares
Fátima Serrano
Rita Torres
Augusta Borges
author_sort Sara Valadares
collection DOAJ
description The authors present a case of a 27-year-old multiparous woman, with multiple thrombophilia, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter. At 15th week of gestation, following an acute deep venous thrombosis of the right inferior limb, anticoagulant therapy with low-molecular-weight heparin (LMWH) was instituted without improvement in her clinical status. Subsequently, at 18 weeks of pregnancy, LMWH was switched to warfarin. At 30th week of gestation, the maintenance of high thrombotic risk was the premise for placement of an inferior vena cava filter for prophylaxis of pulmonary embolism during childbirth and postpartum. There were no complications and a vaginal delivery was accomplished at 37 weeks of gestation. Venal placement of inferior vena cava filters is an attractive option as prophylaxis for pulmonary embolism during pregnancy.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2013-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-c4710b3cb9b946e9a0e4bdfb18c215642025-02-03T01:28:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/821635821635Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy FailsSara Valadares0Fátima Serrano1Rita Torres2Augusta Borges3Maternidade Dr. Alfredo da Costa, Obstetrics Department, Centro Hospitalar Lisboa Central, São Sebastião da Pedreira, 1069-089 Lisbon, PortugalMaternidade Dr. Alfredo da Costa, Obstetrics Department, Centro Hospitalar Lisboa Central, São Sebastião da Pedreira, 1069-089 Lisbon, PortugalMaternidade Dr. Alfredo da Costa, Obstetrics Department, Centro Hospitalar Lisboa Central, São Sebastião da Pedreira, 1069-089 Lisbon, PortugalMaternidade Dr. Alfredo da Costa, Internal Medicine Department, Centro Hospitalar Lisboa Central, São Sebastião da Pedreira, 1069-089 Lisbon, PortugalThe authors present a case of a 27-year-old multiparous woman, with multiple thrombophilia, whose pregnancy was complicated with deep venous thrombosis requiring placement of a vena cava filter. At 15th week of gestation, following an acute deep venous thrombosis of the right inferior limb, anticoagulant therapy with low-molecular-weight heparin (LMWH) was instituted without improvement in her clinical status. Subsequently, at 18 weeks of pregnancy, LMWH was switched to warfarin. At 30th week of gestation, the maintenance of high thrombotic risk was the premise for placement of an inferior vena cava filter for prophylaxis of pulmonary embolism during childbirth and postpartum. There were no complications and a vaginal delivery was accomplished at 37 weeks of gestation. Venal placement of inferior vena cava filters is an attractive option as prophylaxis for pulmonary embolism during pregnancy.http://dx.doi.org/10.1155/2013/821635
spellingShingle Sara Valadares
Fátima Serrano
Rita Torres
Augusta Borges
Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
Case Reports in Obstetrics and Gynecology
title Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
title_full Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
title_fullStr Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
title_full_unstemmed Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
title_short Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
title_sort inferior vena cava filter placement during pregnancy an adjuvant option when medical therapy fails
url http://dx.doi.org/10.1155/2013/821635
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AT ritatorres inferiorvenacavafilterplacementduringpregnancyanadjuvantoptionwhenmedicaltherapyfails
AT augustaborges inferiorvenacavafilterplacementduringpregnancyanadjuvantoptionwhenmedicaltherapyfails