VENOUS THROMBECTOMY IN PREGNANCY - A FOLLOW-UP-STUDY

Objective: To evaluate women who have been treated by venous thrombect omy in pregnancy because of iliofemoral venous thrombosis, reporting t he outcome of their pregnancy and frequency of objectively measured ve nous insufficiency. Design: A retrospective study. The patients were a ssessed by questionnaire, clinical examination, tests of venous functi on and ultrasonography. Setting: Department of Vascular Surgery, Gento fte Hospital, University of Copenhagen. Patients: Nineteen women treat ed previously by venous thrombectomy during pregnancy, with a subseque nt pregnancy. Results: None of the women had complications during subs equent pregnancies or deliveries, 47% had an occluded iliac segment an d 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 throm bectomy and arteriovenous fistula followed by anticoagulant therapy ma y undergo further pregnancies with a very low risk of obstetric compli cations and a low risk of developing rethrombosis or chronic venous in sufficiency.