Download PDF
Der Klinikarzt 2012; 41(4): 180-183
DOI: 10.1055/s-0032-1313801
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Thromboembolische Komplikationen in der Schwangerschaft – Prophylaxe, Diagnostik und Therapie

Thromboembolic Complications in Pregnancy – Prophylaxis, Diagnostics and Therapy
Alexander S Boosz
1   Frauenklinik, Universitätsklinikum Erlangen, Erlangen
,
Tamme W Goecke
1   Frauenklinik, Universitätsklinikum Erlangen, Erlangen
,
Matthias W Beckmann
1   Frauenklinik, Universitätsklinikum Erlangen, Erlangen
› Author Affiliations
Further Information

Publication History

Publication Date:
02 May 2012 (online)

Also available at
    Permissions and Reprints

Die Thrombosehäufigkeit in der Schwangerschaft und im Wochenbett hat sich in den letzten 2 Jahrzehnten verdoppelt. Das zunehmend höhere Alter der Schwangeren und die höhere Sectiorate sind Gründe hierfür. Welche Besonderheiten bei Prophylaxe, Diagnostik und Therapie der Thromboembolie bei schwangeren Patientinnen zu beachten sind, wird im Folgenden erörtert.

The frequency of thrombosis in pregnancy and the postpartal period has doubled in the last two decades. The increasingly older age of pregnant women and the higher incidence of Cesaerean sections are among the reasons for this. The particular aspects that need to be observed in the prophylaxis, diagnostics and therapy for thromboembolic events in pregnant women are discussed in the present article.

Key words

Pregnancy - thrombosis - postpartal period - cesaerean sections
 

  • Literatur

  • 1 AWMF S2-Leitlinie. Diagnostik und Therapie der Venenthrombose und der Lungenembolie. Stand: 01.06.2010 Im Internet: http://www.awmf.org/leitlinien/detail/ll/065-002.html
    PubMedGoogle Scholar
  • 2 AWMF S3-Leitlinie. Prophylaxe der venösen Thromboembolie (VTE). Stand: 01.05.2010 Im Internet: http://www.awmf.org/leitlinien/detail/ll/003-001.html
    PubMedGoogle Scholar
  • 3 Stein PD, Hull RD, Kayali F et al. Venous thromboembolism according to age: the impact of an aging population. Arch Intern Med 2004; 164: 2260-2265
    CrossrefPubMedGoogle Scholar
  • 4 Goecke TW, Rath W. Thrombembolische Erkrankungen in der Schwangerschaft und im Wochenbett. In: Rath W, Gembruch U, Schmidt S, Hrsg. Geburtshilfe und Perinatalmedizin. Aufl. Stuttgart: Thieme; 2010. 2. 352-371
    Google Scholar
  • 5 Chan WS, Chunilal S, Lee A et al. A red blood cell agglutination D-dimer test to exclude deep venous thrombosis in pregnancy. Ann Intern Med 2007; 147: 165-170
    CrossrefPubMedGoogle Scholar
  • 6 Nijkeuter M, Ginsberg JS, Huisman MV. Diagnosis of deep vein thrombosis and pulmonary embolism in pregnancy: a systematic review. J Thromb Haemost 2006; 4: 496-500
    CrossrefPubMedGoogle Scholar
  • 7 Clark P, Bates SM. North American and British guidelines for anti-thrombotic therapy: are we reaching consensus?. Thromb Res (Suppl. 02) 2009;
    PubMedGoogle Scholar
  • 8 James AH. Prevention and management of venous thromboembolism in pregnancy. Am J Med (Suppl. 02) 2007;
    PubMedGoogle Scholar
  • 9 Strandness Jr DE, Langlois Y, Cramer M et al. Long-term sequelae of acute venous thrombosis. JAMA 1983; 250: 1289-1292
    CrossrefPubMedGoogle Scholar
  • 10 Lowe GD. Management of deep vein thrombosis to reduce the incidence of post-thrombotic syndrome. Phlebology (Suppl. 01) 2010; 9-13
    PubMedGoogle Scholar
  • 11 te Raa GD, Ribbert LS, Snijder RS et al. Treatment options in massive pulmonary embolism during pregnancy; a case-report and review of literature. Thromb Res 2009; 124: 1-5
    CrossrefPubMedGoogle Scholar
  • 12 Fruhwirth J, Gutschi S, Amann W. [Results of surgical treatment of pregnancy-associated pelvic vein thrombosis]. Z Geburtshilfe Neonatol 1997; 201: 91-94
    PubMedGoogle Scholar
  • 13 Nijkeuter M, Geleijns J, De Roos A et al. Diagnosing pulmonary embolism in pregnancy: rationalizing fetal radiation exposure in radiological procedures. J Thromb Haemost 2004; 2: 1857-1858
    CrossrefPubMedGoogle Scholar