Page 5 - News VLU 08 2023

Vein & Lymphatic University
VLU voices

such as digital subtraction imaging and be done safely during pregnancy if dee-
magnification, and utilize features such as med necessary. Confusion surrounding
lower pulsed fluoroscopy, fluoroscopy loop radiation exposure during pregnancy often
saves, and last image store. Adjustments leads to delays that may increase mortality
to imaging machinery such as maximizing and morbidity. In addition, there needs to
the distance between the source and de- be an increased effort to quantify the risk
tector should also be considered. of potentially life-saving interventions in the
11
pregnant population to improve safety and
Ultimately, image-guided procedures can clinical decision making in the future.

Reference

1. ACOG Practice Bulletin No. 196: Thromboembolism 7. Greer, I. A. & Nelson-Piercy, C. Low-molecular-
in Pregnancy. Obstetrics & Gynecology 132, e1–e17 weight heparins for thromboprophylaxis and
(2018). treatment of venous thromboembolism in pregnancy:
2. Bremme, K. A. Haemostatic changes in pregnancy. a systematic review of safety and efficacy. Blood
Best Pract Res Clin Haematol 16, 153–168 (2003). 106, 401–407 (2005).
3. Goland, S. & Elkayam, U. Anticoagulation in Preg- 8. Devis, P. & Knuttinen, M. G. Deep venous throm-
nancy. Cardiol Clin 30, 395–405 (2012). bosis in pregnancy: incidence, pathogenesis and
4. POMP, E. R., LENSELINK, A. M., ROSENDAAL, F. endovascular management. Cardiovasc Diagn Ther
7, S309–S319 (2017).
R. & DOGGEN, C. J. M. Pregnancy, the postpartum
period and prothrombotic defects: risk of venous 9. McCollough, C. H. et al. Radiation Exposure and
thrombosis in the MEGA study. Journal of Thrombo- Pregnancy: When Should We Be Concerned? Radio-
sis and Haemostasis 6, 632–637 (2008). Graphics 27, 909–917 (2007).
5. Marik, P. E. & Plante, L. A. Venous Thromboembolic 10. 10.Wakeford, R. & Tawn, E. J. The meaning of low
Disease and Pregnancy. New England Journal of dose and low dose-rate. Journal of Radiological
Medicine 359, 2025–2033 (2008). Protection 30, 1–3 (2010).
6. Chan, W.-S., Spencer, F. A. & Ginsberg, J. S. 11. Shaw, P., Duncan, A., Vouyouka, A. & Ozsvath, K.
Anatomic distribution of deep vein thrombosis in Radiation exposure and pregnancy. J Vasc Surg 53,
pregnancy. CMAJ 182, 657–60 (2010). 28S-34S (2011).
5