Management of venous thromboembolism secondary to ovarian hyperstimulation syndrome: A case report documenting the first use of a superior vena caval filter for upper limb venous thromboembolism in pregnancy,and the difficulties and complications relating to anticoagulation in antenatal and peri-partum periods
Restricted accessCase reportFirst published online June, 2016
Management of venous thromboembolism secondary to ovarian hyperstimulation syndrome: A case report documenting the first use of a superior vena caval filter for upper limb venous thromboembolism in pregnancy,and the difficulties and complications relating to anticoagulation in antenatal and peri-partum periods
The management of venous thromboembolism and subsequent pulmonary embolism in pregnancy remains hugely challenging. In this case, we report the first use of a superior vena caval filter in pregnancy as an adjunct to pharmacological anticoagulation. This is the first reported use of a superior vena caval filter in pregnancy. We discuss the complexities of managing thromboembolism in pregnancy and the peri-partum period.
HimaidanPQuartaroloJPapanikolaouEG. Preventing ovarian hyperstimulation syndrome: guideline for the clinician. Fertil Steril2010; 94: 389–400.
2.
KasumMDanolićDOreškovićS. Thrombosis following ovarian hyperstimulation syndrome. Gynecol Endocrinol2014; 30: 764–768.
3.
CantwellRClutton-BrockTCooperG. Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom. BJOG2011; 118: 57–64.
4.
RovaK. Venous thromboembolism in relation to in-vitro fertilization: an approach to determining the incidence and increased risk in successful cycles. Fertil Steril2012; 97: 95–100.
5.
RCOG. The acute management of thrombosis and embolism during pregnancy and puerperium. Green Top Guideline No 37b, 2015.
6.
McLintockC. Thromboembolism in pregnancy: challenges and controversies in the prevention of pregnancy-associated venous thromboembolism and management of anticoagulation in women with mechanical prosthetic heart valves. Best Pract Res Clin Obstetr Gynaecol2014; 28: 519–536.
7.
BatesSMJaeschkeRStevensSM. American College of Chest Physicians. Diagnosis of DVT: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of chest physicians evidence-based clinical practice guidelines. Chest2012; 141(2 Suppl.): e351S–e418S.
8.
LiuYSunYZhangS. Placement of a retrievable inferior vena cava filter for deep venous thrombosis in term pregnancy. J Vasc Surg2012; 55: 1042–1047.
9.
KawamataKChibaYTanakaR. Experience of temporary inferior vena cava filters inserted in the perinatal period to prevent pulmonary embolism in pregnant women with deep vein thrombosis. J Vasc Surg2005; 41: 652–656.
10.
OwensCABuiJTKnuttinenMG. Pulmonary embolism from upper extremity deep vein thrombosis and the role of superior vena cava filter: a review of the literature. J Vasc Interv Radiol2010; 21: 779–787.
11.
RaoA. Subclavian vein thrombosis following IVF and ovarian hyperstimulation: a case report. Hum Reprod2005; 20: 3307–3312.
12.
CaseleHLLaiferSAWoelkersDA. Changes in the pharmacokinetics of the low-molecular-weight heparin enoxaparin sodium during pregnancy. Am J Obstetr Gynecol1999; 151: 113–117.
13.
LimmerJSGrotegutCAThamesE. Postpartum wound and bleeding complications in women who received peripartum anticoagulation. Thromb Res2013; 132: e19–e23.
14.
GreerIANelson-PiercyC. Low-molecular-weight heparins for thromboprophylaxis and treatment of venous thromboembolism in pregnancy: a systematic review of safety and efficacy. Blood2005; 106: 401–407.
