Vascular Events During Pregnancy, Presentation & Management
EPISODE 49: In today’s episode I visit with a Vascular Surgeon to address vascular complications during pregnancy. This episode is great if you're a patient who has had any vascular complication as well as if you are a physician preparing for your oral board exams! Guest: Dr. Patrick DuffyIn this episode, we discuss:• What a Vascular Surgeon Does — 2:07 — The "plumbers of the body": arterial and venous disease, blood clots, atherosclerosis, and trauma. • Venous Thromboembolism (VTE) in Pregnancy — 4:24 — Why pregnant patients are at higher risk for clots, and the DVT-to-PE relationship. • Deep Vein Thrombosis (DVT) — 4:51 — Symptoms, diagnosis via venous duplex ultrasound, anticoagulation management, and prevention (compression, mobility, hydration). • May-Thurner Syndrome — 20:53 — Right iliac artery compressing the left iliac vein; unprovoked left-leg DVT; treated with angioplasty and stenting. • Pulmonary Embolism (PE) — 24:33 — Symptoms, overlap with pregnancy, CT angiogram vs. VQ scan, anticoagulation, and thrombectomy for cor pulmonale. • IVC Filters — 32:38 — What they are, placement (neck or groin), indications, temporary vs. permanent, and removal. • Laparoscopic Surgery in Pregnancy — 42:46 — Trocar placement, insufflation pressures, Veress needle complications, and managing retroperitoneal hematomas. • Liver Rupture & Portal Hypertension — 49:20 — Diagnosis, embolization treatment, and a fatal case discussion involving liver varicosities. • Varicose Veins in Pregnancy — 55:53 — Deep vs. superficial venous systems, superficial thrombophlebitis, vulvar varicosities, and when a cesarean might be warranted. • Splenic Artery Aneurysm — 1:02:39 — Incidental findings, third-trimester rupture risk, treatment thresholds, and family history. • Osler-Weber-Rendu Syndrome — 1:05:41 — Hereditary hemorrhagic telangiectasia, pulmonary and cerebral AVMs, autosomal dominant inheritance. Helpful links:May Thurner Syndrome: https://my.clevelandclinic.org/health/diseases/17213-may-thurner-syndromeMultiple AVMs during pregnancy: https://www.degruyterbrill.com/document/doi/10.1515/crpm-2014-0014/html?srsltid=AYCX9vLFUwZn2XOeuQZhx0y6Or5BtPNR8S2funjn5c60TIGl2dHdh_qSClick to learn more about Dr. Lexi.Click HERE to watch the podcast.GET FREE DOWNLOADS like the MUST HAVE Advocacy Assistant outlining important questions everyone should ask their OB provider!BOOK A CONSULTATION WITH DR LEXICONNECT WITH DR LEXIWebsite; Instagram; Twitter; FacebookLISTEN / SUBSCRIBE TO THE PODCASTApple Podcasts; Spotify; Amazon
