PURPOSE: Pregnancy and the puerperium are time periods of an increased risk for @entity1211 . An ideal treatment should lead to complete restoration of the venous lumen, elimination of the embolic source, and prevention of severe @entity5226 . Anticoagulation therapy with heparin or thrombectomy are treatment options. In the current literature, these options are discussed controversially. METHODS: From January 1982 to December 2001, 97 @entity1 underwent (93% transfemoral) thrombectomy and construction of an @entity2548 ( @entity2548 ) for @entity1150 related to pregnancy. The clinical and coagulation parameters were evaluated. The @entity2548 was ligated 3 to 6 months later. Follow-up with duplex ultrasound scan, photoplethysmography, and strain-gauge plethysmography was completed in 87 @entity1 . RESULTS: Surgery was performed without any maternal @entity1151 . A cesarean section was carried out during the same anesthesia in 11 cases. Thrombectomy was completed with construction of a temporary @entity2548 in 90 @entity1 (92.8%). One @entity5617 occurred in the recovery room for unknown reasons. In the early postoperative course, 16 @entity1 (16.5%) underwent redo surgery for rethrombosis with or without the occlusion of the @entity292 . In 14 of these @entity1 , the venous system remained patent thereafter. @entity5617 occurred in five cases 2 to 10 weeks after surgery, mainly because of abruption of the placenta probably from anticoagulation. Among 247 preoperatively occluded anatomic regions, 221 could be restored, and the secondary patency rate amounted to 89.5%. After a mean follow-up period of 6 years, 49 @entity1 (56.3%) were seen without a @entity5226 , and only three @entity1 (3.5%) had had a leg @entity1066 develop. CONCLUSION: In experienced hands, venous thrombectomy is a safe method to prevent @entity1151 and @entity5226 in @entity1 during pregnancy and the puerperium. The frequency of a severe @entity5226 after our surgical approach is lower than the rates published for anticoagulation treatment alone.

XXXX during pregnancy and after delivery: indications for and results of thrombectomy.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['death or pulmonary embolization', 'pulmonary embolism'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity5226 :: ('MESH:D011186', 'Disease') :: ['postphlebitic syndrome'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity2548 :: ('MESH:D001164', 'Disease') :: ['AVF', 'arteriovenous fistula'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['venous thromboembolism'] @entity5617 :: ('MESH:D005313', 'Disease') :: ['Fetal or neonatal death', 'fetal death']
@entity1150 :: (MESH:D020246,Disease) :: ['Deep venous thrombosis']
