DIAGNOSTIC AND THERAPEUTIC POSSIBILITIES IN DEEP VENOUS THROMBOSIS DURING PREGNANCY

Deep venous thrombosis presents a special diagnostic and therapeutic p roblem in pregnancy. Patients and methods: In seven patients varying b etween the 33th to 40th gestational week we performed simultaneous Cae sarean section and thrombectomy including arteriovenous fistulisation within 2-14 days following the clinical diagnosis of deep venous throm bosis. Preoperatively thrombosis was verified in these patients using colour Doppler sonography as well as phlebography. Results: In all pat ients recanalisation of the pelvic veins could be achieved during a fo llow-up of three years. Conclusion: Due to early diagnosis of a deep v ein thrombosis in the third trimenon of pregnancy simultaneous Caesare an section and thrombectomy including transient arteriovenous fistulis ation seems to be a promising therapeutic alternative.