Diagnostische und therapeutische Möglichkeiten bei tiefer Becken-/Beinvenenthrombose in der Gravidität

Deep venous thrombosis presents a special diagnostic and therapeutic problem in pregnancy. Patients and methods: In seven patients varying between the 33 th to 40th th gestational week we performed simultaneous Caesarean section and thrombectomy including arteriovenous fistulisation within 2-14 days following the clinical diagnosis of deep venous thrombosis. Preoperatively thrombosis was verified in these patients using colour Doppler sonography as well as phlebography. Results: In all patients recanalisation of the pelvic veins could be achieved during a follow-up of three years. Conclusion: Due to early diagnosis of a deep vein thrombosis in the third trimenon of pregnancy simultaneous Caesarean section and thrombectomy including transient arteriovenous fistulisation seems to be a promising therapeutic alternative.