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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails
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Inferior Vena Cava Filter Placement during Pregnancy: An Adjuvant Option When Medical Therapy Fails

机译：妊娠期下腔静脉滤过器放置：药物治疗失败时的辅助选择

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摘要

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.
机译：作者介绍了一例27岁的多胎妇女，患有多发血栓形成，其妊娠并发深静脉血栓形成，需要放置腔静脉滤器。妊娠第15周，右下肢急性深部静脉血栓形成后，采用低分子量肝素（LMWH）进行抗凝治疗，但临床状况并未改善。随后，在怀孕18周时，LMWH改用华法林。在妊娠第30周时，维持高血栓形成风险是放置下腔静脉滤器以预防分娩和产后肺栓塞的前提。没有并发症，并且在妊娠37周时完成了阴道分娩。下腔静脉滤器的静脉置入是预防妊娠期肺栓塞的一种有吸引力的选择。

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