Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

World first: Massive thrombosis removed during early pregnancy

20.07.2017

An interdisciplinary medical team at Inselspital, Bern University Hospital, has saved the lives of a pregnant woman and her foetus on Tuesday. A massive thrombosis of the mother’s deep veins was jeopardising the lives of both mother and unborn child.

Monday afternoon, three o‘ clock: A young woman arrives at Inselspital Bern with a painful swelling in her left leg. She is ten weeks pregnant. A medical examination reveals the patient has a massive thrombosis of the pelvic veins as well as a large, free floating clot in the inferior vena cava in close proximity to her heart. She is deemd to be at extreme mortal danger from pulmonary embolism since the clot in the inferior vena cava is mobile.


Prof. Dr. med. Nils Kucher conducted the challenging intervention under ultrasound guidance.

Inselspital, Bern University Hospital

Team consultation on the best treatment

Taking the woman’s pregnancy into consideration, a panel of physicians from the Departments of Angiology, Gynaecology and Obstetrics, Hematology and Cardiovascular Surgery at Inselspital Bern discuss the best treatment approach. They decide to attempt to save the lives of both the mother and her unborn child by opting for a treatment that has never been performed before.

Gentle removal of the embolus without the use of X-ray equipment

The experienced angiologist Prof. Dr. med. Nils Kucher is entrusted with the removal of the patient’s thrombosis using a groundbreaking approach. The goal is to save the life of the young woman, to maintain the pregnancy, and to prevent any potential harm to the embryo. On Tuesday, shortly after midday, a catheter-directed thrombolysis is initiated without any radiation exposure; a medical first in this constellation.

The catheter is placed into the inferior vena cava with the help of direct ultrasound image guidance – a non-hazardous imaging technique for the embryo. Catheter-directed thrombolysis of larger emboli is generally performed in conjunction with of X-ray imaging. This, however, could have led to severe harm to the embryo, potentially causing its death.

Patient able to leave the hospital

The ultrasound examination on Wednesday sparks optimism: The thrombosis has dissolved entirely and the embryo is healthy. In the evening, the patient is able to leave the hospital without any residual symptoms, after the prenatal medic has confirmed that the pregnancy remains unaffected.

The Department of Angiology at Inselspital, Bern University Hospital, introduced ultrasound-accelerated thrombolysis in 2011 in a pioneer effort (cf. first scienctific description in November 2011). This is the first application of this method during early pregnancy.

Enquiries:
Prof. Dr. med. Nils Kucher, Physician-in-Chief, Department of Angiology, Inselspital, Bern University Hospital
(on the intervention method and procedure)

Prof. Dr. med. Daniel Surbek, Co-Chairman and Head Obstetrics and feto-maternal medicine, Department of Gynaecology and Obstetrics, Inselspital, Bern University Hospital
(on the risks of pregnancy and thrombosis and the risks for the embryo)

Prof. Dr. med. Anne Angelillo-Scherrer, Chairwoman and Head, Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital
(on treatment alternatives for thrombosis)

Contact via Insel Gruppe AG, Media Service, kommunikation@insel.ch, +41 31 632 79 25.

Weitere Informationen:

http://circ.ahajournals.org/content/124/19/2139

Monika Kugemann | idw - Informationsdienst Wissenschaft
Further information:
http://www.insel.ch

More articles from Health and Medicine:

nachricht Deep stimulation improves cognitive control by augmenting brain rhythms
04.04.2019 | Picower Institute at MIT

nachricht Black nanoparticles slow the growth of tumors
04.04.2019 | Technische Universität München

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Explosion on Jupiter-sized star 10 times more powerful than ever seen on our sun

A stellar flare 10 times more powerful than anything seen on our sun has burst from an ultracool star almost the same size as Jupiter

  • Coolest and smallest star to produce a superflare found
  • Star is a tenth of the radius of our Sun
  • Researchers led by University of Warwick could only see...

Im Focus: Quantum simulation more stable than expected

A localization phenomenon boosts the accuracy of solving quantum many-body problems with quantum computers which are otherwise challenging for conventional computers. This brings such digital quantum simulation within reach on quantum devices available today.

Quantum computers promise to solve certain computational problems exponentially faster than any classical machine. “A particularly promising application is the...

Im Focus: Largest, fastest array of microscopic 'traffic cops' for optical communications

The technology could revolutionize how information travels through data centers and artificial intelligence networks

Engineers at the University of California, Berkeley have built a new photonic switch that can control the direction of light passing through optical fibers...

Im Focus: A long-distance relationship in femtoseconds

Physicists observe how electron-hole pairs drift apart at ultrafast speed, but still remain strongly bound.

Modern electronics relies on ultrafast charge motion on ever shorter length scales. Physicists from Regensburg and Gothenburg have now succeeded in resolving a...

Im Focus: Researchers 3D print metamaterials with novel optical properties

Engineers create novel optical devices, including a moth eye-inspired omnidirectional microwave antenna

A team of engineers at Tufts University has developed a series of 3D printed metamaterials with unique microwave or optical properties that go beyond what is...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Revered mathematicians and computer scientists converge with 200 young researchers in Heidelberg!

17.04.2019 | Event News

First dust conference in the Central Asian part of the earth’s dust belt

15.04.2019 | Event News

Fraunhofer FHR at the IEEE Radar Conference 2019 in Boston, USA

09.04.2019 | Event News

 
Latest News

New automated biological-sample analysis systems to accelerate disease detection

18.04.2019 | Life Sciences

Explosion on Jupiter-sized star 10 times more powerful than ever seen on our sun

18.04.2019 | Physics and Astronomy

New eDNA technology used to quickly assess coral reefs

18.04.2019 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>