Would you consider prophylactic anticoagulation for May-Thurner syndrome in pregnancy if prior endovascular intervention has been completed?

On lifelong aspirin following prior endovascular intervention. No history of DVT.

Would the presence of other risk factors, such as obesity, change your decision?

Answer from: at Academic Institution

In general, I have a very low threshold to initiate prophylactic anticoagulation in pregnancy. For a patient with a history of May-Thurner that has been endovascularly corrected and who has been maintained off of anticoagulation without issue, I would have a risk-benefit discussion about prophylact...

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Medical Oncologist at Chester County Hematology Oncology
Very helpful, thank you for this response.

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Would you consider prophylactic anticoagulation for May-Thurner syndrome in pregnancy if prior endovascular intervention has been completed?

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