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 Enabling technology in cell-based therapies: Scale-up, scale-out or program in-place
23.07.2018 | SLAS (Society for Laboratory Automation and Screening)

nachricht FAU researchers identify Parkinson's disease as a possible autoimmune disease
23.07.2018 | Friedrich-Alexander-Universität Erlangen-Nürnberg

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: Future electronic components to be printed like newspapers

A new manufacturing technique uses a process similar to newspaper printing to form smoother and more flexible metals for making ultrafast electronic devices.

The low-cost process, developed by Purdue University researchers, combines tools already used in industry for manufacturing metals on a large scale, but uses...

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Detecting damage in non-magnetic steel with the help of magnetism

23.07.2018 | Materials Sciences

Researchers move closer to completely optical artificial neural network

23.07.2018 | Information Technology

Enabling technology in cell-based therapies: Scale-up, scale-out or program in-place

23.07.2018 | Health and Medicine

VideoLinks
Science & Research
Overview of more VideoLinks >>>