%0 Journal Article
%T Venous thromboembolic disease in obstetrics
%A Rivas- Perdomo 谷dgar
%A Rojas-S迆arez Jos谷 Antonio
%J Revista Ciencias Biom谷dicas
%D 2012
%I Universidad de Cartagena
%X Introduction: Venous thromboembolic diseases in obstetrics include superficial veinthrombosis, deep vein thrombosis, thrombosis of the ovarian veins, pelvic sepsis andpulmonary thromboembolism.Objective: to review risk factors, diagnosis and treatment of venous thromboembolicdisease in obstetric patients.Methodology: we performed a thematic review including clinical and epidemiologicalstudies, systematic reviews, consensus, expert meetings, clinical guidelines andprotocols of venous thromboembolic disease in pregnancy. We searched PubMed,ScienceDirect, OvidSP and Scielo databases, from 2000 to 2011 for articles in Englishand Spanish.Results: The search yielded 214 studies; seventy six met the inclusion criteria and were reviewed. There are well- known risk factors for the development of venousthromboembolic disease in pregnant women, there are also clinical tests to identifywomen at risk of DVT and imaging studies that provide different percentages ofsensitivity and specificity; perfusion scintigraphy is a good and safe tool to be usedin pregnant women. Early diagnosis should be followed by an early and appropriatetherapeutic action, usually LMWH that has replaced the use of UFH.Conclusions: the presence of risk factors for venous thromboembolic disease must beidentified in the whole pregnant population and, according to findings, make therapeuticor pharmacological actions.RESUMEN:Introducci車n: la Enfermedad Tromboemb車lica Venosa (ETV) incluyen: trombosisvenosa superficial, venosa profunda, de las venas ov芍ricas, p谷lvica s谷ptica y el tromboembolismo pulmonar.Objetivo: realizar revisi車n sobre factores de riesgo, diagn車stico, manejo y tratamientode ETV en pacientes obst谷tricas.Metodolog赤a: revisi車n tem芍tica que incluye estudios cl赤nicos y epidemiol車gicos,revisiones sistem芍ticas, tem芍ticas, consensos, reuniones de expertos, gu赤as cl赤nicasy protocolos sobre ETV en el embarazo. Revisadas las bases de datos PubMed,ScienceDirect, OvidSP y Scielo, durante los a os 2000 y 2011, en los idiomas ingl谷s yespa ol.Resultados: la b迆squeda arroj車 214 estudios. 76 cumplieron con los criterios de inclusi車ny fueron revisados. Existe una buena aproximaci車n a los factores de riesgo parael desarrollo de ETV en mujeres gestantes. Existe un test cl赤nico para identificar mujerescon riesgo de TVP. Existen estudios de imagen que ofrecen diferentes porcentajes desensibilidad y especificidad. La gammagraf赤a por perfusi車n es una buena y seguraherramienta en la mujer gestante. El diagn車stico temprano debe ser seguido de unatemprana y adecuada acci車n terap谷utica. HBPM ha reemplazado el
%K Venous thrombosis
%K Pregnancy
%K Heparin
%K Hypercoagulability
%K Thrombophilia.
%U http://www.revistacienciasbiomedicas.com/index.php/revciencbiomed/article/view/182/147