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Int J Obstet Anesth · Nov 2014
Case ReportsExtensive pulmonary embolism after severe postpartum haemorrhage: management with an inferior vena cava filter.
- A Bilger, J Pottecher, M Greget, E Boudier, and P Diemunsch.
- Service d'Anesthésie-Réanimation, Hôpital de Hautepierre, Strasbourg, France. Electronic address: bilgeraudrey@gmail.com.
- Int J Obstet Anesth. 2014 Nov 1;23(4):390-3.
AbstractWe report the case of a 36-year-old woman with an inferior vena cava thrombosis and extensive pulmonary embolism six days after a severe postpartum haemorrhage. She had undergone caesarean section with bleeding managed by massive transfusion, hysterectomy, and two attempts at uterine artery embolization. Systemic thrombolysis and catheter-directed thrombolysis in intensive care were abandoned due to recent and incomplete uterine artery embolization. A temporary inferior vena cava filter was chosen because of significant risk of massive pulmonary embolism. This was a controversial decision because guidelines from different professional groups offer conflicting recommendations. The therapeutic options for the management of massive postpartum pulmonary embolism when thrombolysis is contraindicated are discussed.Copyright © 2014 Elsevier Ltd. All rights reserved.
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