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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 |
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creator | Schrufer-Poland, Tabitha L Florio, Karen Grodzinsky, Anna Borsa, John J 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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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.</description><identifier>ISSN: 2308-3425</identifier><identifier>EISSN: 2308-3425</identifier><identifier>DOI: 10.3390/jcdd9120410</identifier><identifier>PMID: 36547407</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>Journal of cardiovascular development and disease, 2022-11, Vol.9 (12), p.410</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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.</description><subject>Apixaban</subject><subject>Aspirin</subject><subject>Asymptomatic</subject><subject>Blood clots</subject><subject>Catheters</subject><subject>Cockett Syndrome</subject><subject>Compression therapy</subject><subject>iliac compression</subject><subject>May Thurner</subject><subject>Obstetrics</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Rivaroxaban</subject><subject>Stents</subject><subject>Strategic planning (Business)</subject><subject>Thrombosis</subject><subject>Ultrasonic imaging</subject><subject>Uterus</subject><subject>Vagina</subject><subject>Veins & arteries</subject><subject>venous thromboembolism</subject><subject>Vertebrae</subject><issn>2308-3425</issn><issn>2308-3425</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkt9rFDEQx4Motpx98l0WfBHkan5uNi9CKf4otFiwPodsMtnmuE1qdk-4_945r5Y7kTwkM_nMN3wnQ8hrRs-FMPTDyodgGKeS0WfklAvaLYXk6vnB-YScTdOKUsowooy_JCeiVVJLqk-JvnHZDTBCnpsSmxu3be7uNzVDbb5vc6hlhCbl5rbCkB0yt25OyE6vyIvo1hOcPe4L8uPzp7vLr8vrb1-uLi-ul15JPi-1AhNaFr2Kupem741WndGhM44Dw4QC3gPTsVOhdzE4wRRoaVwQQHttxIJc7XVDcSv7UNPo6tYWl-yfRKmDdXVOfg1WoKhUVPoejXaUGslNJ0V00lCOIWp93Gs9bPoRgkcf1a2PRI9vcrq3Q_llje5ki1IL8u5RoJafG5hmO6bJw3rtMpTNZLlWmipJeYvo23_QVcG2Yqt2VKvxd9oDanBoIOVY8F2_E7UXWrFOM2U4Uuf_oXAFGJMvGWLC_FHB-32Br2WaKsQnj4za3djYg7FB-s1hW57Yv0MifgN7Gbm5</recordid><startdate>20221123</startdate><enddate>20221123</enddate><creator>Schrufer-Poland, Tabitha L</creator><creator>Florio, Karen</creator><creator>Grodzinsky, Anna</creator><creator>Borsa, John J</creator><creator>Schmidt, Laura</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9519-8181</orcidid></search><sort><creationdate>20221123</creationdate><title>Management of May Thurner Syndrome in Pregnant Patients</title><author>Schrufer-Poland, Tabitha L ; Florio, Karen ; Grodzinsky, Anna ; Borsa, John J ; Schmidt, Laura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-75e9d61fc5f7b49bb975897d89a2e149b5e2be17f85dbafda315e749ad3e0b793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Apixaban</topic><topic>Aspirin</topic><topic>Asymptomatic</topic><topic>Blood clots</topic><topic>Catheters</topic><topic>Cockett Syndrome</topic><topic>Compression therapy</topic><topic>iliac compression</topic><topic>May Thurner</topic><topic>Obstetrics</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Rivaroxaban</topic><topic>Stents</topic><topic>Strategic planning (Business)</topic><topic>Thrombosis</topic><topic>Ultrasonic imaging</topic><topic>Uterus</topic><topic>Vagina</topic><topic>Veins & arteries</topic><topic>venous thromboembolism</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schrufer-Poland, Tabitha L</creatorcontrib><creatorcontrib>Florio, Karen</creatorcontrib><creatorcontrib>Grodzinsky, Anna</creatorcontrib><creatorcontrib>Borsa, John J</creatorcontrib><creatorcontrib>Schmidt, Laura</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of cardiovascular development and disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schrufer-Poland, Tabitha L</au><au>Florio, Karen</au><au>Grodzinsky, Anna</au><au>Borsa, John J</au><au>Schmidt, Laura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of May Thurner Syndrome in Pregnant Patients</atitle><jtitle>Journal of cardiovascular development and disease</jtitle><addtitle>J Cardiovasc Dev Dis</addtitle><date>2022-11-23</date><risdate>2022</risdate><volume>9</volume><issue>12</issue><spage>410</spage><pages>410-</pages><issn>2308-3425</issn><eissn>2308-3425</eissn><abstract>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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36547407</pmid><doi>10.3390/jcdd9120410</doi><orcidid>https://orcid.org/0000-0002-9519-8181</orcidid><oa>free_for_read</oa></addata></record> |
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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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