The Management Of Tromboembolic Diseases In Pregnancy

Year 2015, Volume: 4 Issue: 3, 302 - 308, 01.09.2015

Zehra Yaşar Fahrettin Talay

https://doi.org/10.5505/abantmedj.2015.26214

Abstract

Pregnancy and postpartum period are well-established risk factors for venous thromboembolism VTE . Currently pulmonary embolism PE is a leading cause of pregnancy related mortality and responsible for 20 percent of maternal deaths. PE is known to occur in one of every 10 deep vein thrombosis DVT . The clinical diagnosis of VTE is challenging because of the overlap of signs and symptoms between physiologic changes and development of PE or DVT. Accurate and early diagnosis is important in pregnancy to prevent fetus and pregnant from complications. And also accurate imaging is essential because of the anxieties relating to fetal radiation exposure during diagnostic procedures. In this review diagnostic algorithm of VTE discussed for accurate and reliable management in pregnancy.

Keywords

Pregnancy, Thromboembolic Diseases

Gebelikte Tromboembolik Hastalıklara Tanısal Yaklaşım

Abstract

Gebelik ve postpartum dönem venöz tromboemboli VTE için kanıtlanmış risk faktörüdür. Günümüzde pulmoner emboli PE gebelik ile ilişkili ölümlerin önemli nedenlerindendir ve anne ölümlerinin %20’sini oluşturmaktadır. Her 10 derin ven trombozundan DVT birinde PE geliştiği bilinmektedir. VTE tanısı semptomların ve bulguların gebeliğin beklenen fizyolojik değişiklikleriyle benzer olması nedeniyle oldukça zordur. Gebelikte VTE tanısının gecikmeden konması ve uygun tedavinin düzenlenmesi gebenin ve fetusun komplikasyonlardan korunması için hayati önem arzeder.Tanısal işlemler sırasında oluşabilecek radyasyon maruziyeti de doğru görüntüleme yönteminin uygulanmasının önemini göstermektedir. Bu derlemede gebede karşılaşabileceğimiz tromboembolik hastalıklara tanısal yaklaşım basamakları gözden geçirilmiştir.

Keywords

Gebelik, Tromboembolik Hastalıklar

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