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?
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Do you typically add VTE prophylaxis during pregnancy for previously stented May-Thurner syndrome without other history of DVT?
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1 Answer
Mednet MemberInvited Expert
Hematology · University of Rochester School of Medicine and Dentistry
Answered on · Updated on
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 prophylacti...
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