Thromboembolic Disorders

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 11

THROMBO EMBOLIC

DISORDER

PREPARED BY:-
MS. ANNU PANCHANL
ASSISTANT PROFESSOR
INTRODUCTION
 In thrombo-embolic disorders, blood
clots (thromb) form in the blood vessels.
 An embolus is blood clot that travels

through the bloodstream and blocks an


artery.
 In united states, thrombo-embolic

disorders are cause of death in pregnant


women
 The risk of developing a thrombo-embolic disorders
is increased for about 6 weeks after delivery.
 Most complications due to blood clots result from
injuries that occur during delivery
 The risk is much higher after cesarean delivery than
after vaginal delivery.
 Blood clots usually form in the superficial veins of
the legs as thrombophlebitis or in the deep veins of
the legs as deep vein thrombosis
SYMPTOMS
 Leg swelling
 Pain
 Tenderness
 These symptoms may be hard to recognize because
pregnancy can cause similar symptoms.
DEEP VEIN THROMBOSIS
 Deep vein thrombosis may also develop in the
pelvis. There it may not cause symptoms
 A clot can move from the deep vein of the legs or
pelvis to the lungs. There, the clot may block one
or both lung (pulmonary) arteries.
 These blockage, called pulmonary embolism can
be life threatening
DIAGNOSIS
 Doppler ultrasonography to check for blood clots
in the legs.
 Computed tomography to check for pulmonary
embolism.
 During pregnancy, if women have symptoms
suggesting a blood clot, Doppler ultrasonography
(used to evaluate blood flow) may be done to
check the legs for clots
 If pulmonary embolism is suspected, computed
tomography.
 CT is done after a radiopaque contrast agent is
injected in a vein. The contrast agent flow through
blood vessels and outlines them. This procedure is
called CT angiography. It is reatively safe during
pregnancy
PULMONARY
ANGIOGRAPHY
 If the diagnosis of pulmonary embolism is still
uncertain, a procedure called pulmonary angiography
(angiography of lung’s blood vessels) is required.
 PROCEDURE:-
 Doctors make a small incision, typically in the groin
but sometimes in the arm
 Then they insert a thin flexible tube (catheter)
 When the catheter is in place, a radiopaque contrast
agent is injected through the catheter to outline the
blood vessels in the lungs and x-ray are taken.
TREATMENT
 Heparin during pregnancy:-
If a blood clot is detected, heparin (an anticoagulant,
a drug that inhibits blood inhibits) is started
without delay.
Heparin may be injected into a vein (intravenously)
or under the skin (subcutaneously).
Heparin does not cross the placenta and cannot
harm the fetus.
Warfarin after delivery
 After delivery, warfarin may be used instead of
heparin, particulary if women require treatment
for more than 6 to 8 weeks
 Warfarin can be taken by mouth, has a lower risk
of complications than heparin, and can be taken
by women who are breastfeeding
THANK
YOU

You might also like