Venous Thrombectomy in Pregnancy: A Follow-up Study

Abstract

Objective:

To evaluate women who have been treated by venous thrombectomy in pregnancy because of iliofemoral venous thrombosis, reporting the outcome of their pregnancy and frequency of objectively measured venous insufficiency.

Design:

A retrospective study. The patients were assessed by questionnaire, clinical examination, tests of venous function and ultrasonography.

Setting:

Department of Vascular Surgery, Gentofte Hospital, University of Copenhagen.

Patients:

Nineteen women treated previously by venous thrombectomy during pregnancy, with a subsequent pregnancy.

Results:

None of the women had complications during subsequent pregnancies or deliveries, 47% had an occluded iliac segment and 53% had dilated or varicose veins. None had ulcers or skin changes. None of the women showed signs of of re-thrombosis.

Conclusion:

Women who have been treated for deep venous thrombosis in pregnancy by thrombectomy and arteriovenous fistula followed by anticoagulant therapy may undergo further pregnancies with a very low risk of obstetric complications and a low risk of developing re-thrombosis or chronic venous insufficiency.