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Management of May Thurner Syndrome in Pregnant Patients

May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underrepor...

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Published in:Journal of cardiovascular development and disease 2022-11, Vol.9 (12), p.410
Main Authors: Schrufer-Poland, Tabitha L, Florio, Karen, Grodzinsky, Anna, Borsa, John J, Schmidt, Laura
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cited_by cdi_FETCH-LOGICAL-c542t-75e9d61fc5f7b49bb975897d89a2e149b5e2be17f85dbafda315e749ad3e0b793
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container_issue 12
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container_title Journal of cardiovascular development and disease
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creator Schrufer-Poland, Tabitha L
Florio, Karen
Grodzinsky, Anna
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Schmidt, Laura
description May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients is based on expert opinion without any formal evidence-based guidance. Herein, we review five pregnancies in four patients with May Thurner Syndrome and general management strategies. Through collaborative and multidisciplinary care, patients with May Thurner Syndrome can be safely and successfully managed during pregnancy and the postpartum period with appropriate anticoagulation.
doi_str_mv 10.3390/jcdd9120410
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subjects Apixaban
Aspirin
Asymptomatic
Blood clots
Catheters
Cockett Syndrome
Compression therapy
iliac compression
May Thurner
Obstetrics
Patients
Pelvis
Pregnancy
Pregnant women
Rivaroxaban
Stents
Strategic planning (Business)
Thrombosis
Ultrasonic imaging
Uterus
Vagina
Veins & arteries
venous thromboembolism
Vertebrae
title Management of May Thurner Syndrome in Pregnant Patients
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