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January 1, 1992Thrombosis and Haemostasis

Deep Vein Thrombosis in Obstetric Patients: Diagnosis and Risk Factors

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Why the study?

Is it safe to withhold anticoagulant therapy in obstetric patients with suspected DVT who have a repeatedly normal impedance plethysmography (IPG)?

Population

77 consecutive obstetric patients with clinical symptoms of deep vein thrombosis (DVT)

Design

Cohort

Follow-up

6 months

Authors

KBKarin BoerTufts Medical CenterHBHarry R. BüllerAmsterdam University Medical CentersJCJan W. ten CateUniversité de Corse Pascal Paoli

Discussion

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Implication

May support withholding anticoagulation after normal serial IPG in obstetric DVT suspicion; hypothesis-generating, needs prospective validation.

Structured PICO

Is it safe to withhold anticoagulant therapy in obstetric patients with suspected DVT who have a repeatedly normal impedance plethysmography (IPG)?

P
Population
77 consecutive obstetric patients with clinical symptoms of deep vein thrombosis (DVT)
I
Intervention
Impedance plethysmography (IPG) as a diagnostic method, with withholding of anticoagulant therapy in patients with a repeatedly normal IPG
O
Outcome
Occurrence of venous thromboembolism during follow-up in patients with repeatedly normal IPGhard clinical

Serial impedance plethysmography can be used safely and effectively to rule out DVT and withhold anticoagulant therapy in obstetric patients with suspected DVT.

Cite This Study

Boer et al. (1992) studied this question.

synapsesocial.com/papers/6a7bb7787cc40aa1f8df84b8https://doi.org/10.1055/s-0038-1648129
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diagnosis and treatment of deep-vein thrombosis and approach to venous thromboembolism in obstetrics and gynecology2011 · 14 citations
  2. 2Management of Suspected Acute Venous Thromboembolism in a General and Maternity Hospital1996 · 1 citations
  3. 3Diagnostic Problems with Venous Thromboembolic Disease in Pregnancy2009 · 16 citations
  4. 4Deep Vein Thrombosis During Pregnancy1983 · 102 citations
  5. 5Predicting Deep Venous Thrombosis in Pregnancy: Out in “LEFt” Field?2009