A Case with Upper Extremity Deep Vein Thrombosis after<i>in vitro</i>Fertilization

Seong, Seok-Woo; Park, Jae‐Hyeong; Shin, Sung Kyun; Jin, Seong Eun; Park, Yong Kyu; Choi, Si Wan

doi:10.4250/jcu.2010.18.3.98

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…While the association of OH and thromboembolic complications has been well reported, this typically occurs in the setting of an active pregnancy or in the setting of clinically overt OHSS 4–6 9. Our case is unique in that our patient was not pregnant nor did she show evidence of OHSS prior to her presentation.…”

Section: Discussionmentioning

confidence: 73%

Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation

2016

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A healthy female presented with upper extremity (UE) swelling of several days duration. Admission laboratories were normal except for an elevated D-dimer. An UE ultrasound with Doppler revealed a thrombus in the right subclavian vein. A subsequent chest CT angiogram further characterised the subclavian vein thrombus and also identified a pulmonary embolus. A thorough history and laboratory evaluation showed that her only risk factors were long-time contraceptive pills and a recent cycle of ovarian hyperstimulation (OH) 7 weeks prior to presentation. Anticoagulation treatment was started and the patient's remaining outpatient work-up was negative for all other hereditary causes. A complete anatomic work-up showed bilateral thoracic outlet syndrome (TOS). A review of the literature on the occurrence of upper extremity deep venous thrombosis suggests that these usually occur in the presence of a predisposing factor, including catheters, indwelling devices and active malignancies. OH has been shown to precipitate venous thromboembolism events; however, the diagnosis of bilateral TOS as a predisposing risk factor has not been described in a patient who had recently undergone recent OH and in one who was not actively pregnant.

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Section: Discussionmentioning

confidence: 73%

Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation

2016

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“…A relationship between ovarian stimulation and thrombosis was first suggested in 1965,[ 5 ] and following this, over 100 publications have reported the same complication. [ 6 7 8 9 10 11 12 13 14 ] Large-cohort studies have reported increased risk of VTE throughout pregnancy and the postpartum period in IVF pregnancies, though the absolute numbers are low. [ 15 16 17 ] A recent systematic review has confirmed that the antepartum risk of VTE after IVF is doubled (odds ratio, 2.18; 95% confidence interval, 1.63–2.92) in comparison with the background normal pregnant population.…”

Section: Discussionmentioning

confidence: 99%

Assisted reproductive techniques in a patient with history of venous thromboembolism: A case report and review of literature

2018

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We report a patient with a history of venous thrombosis following oral contraceptive pills who was planned for in vitro fertilization (IVF)-intracytoplasmic sperm injection for male factor infertility. This article discusses the mechanisms for predisposition to thrombosis during assisted reproduction in patients at high risk. Assessment of risk before commencement of treatment, use of mild stimulation, antagonist protocol, avoiding ovarian hyperstimulation, use of gonadotropin-releasing hormone agonist trigger and avoiding exposure to human chorionic gonadotropin, frozen embryo transfer in a natural cycle, single embryo transfer, avoiding multiple pregnancy, and use of prophylactic or therapeutic anticoagulation are the various risk-reduction strategies that must be adopted during IVF treatment to reduce the risk of thrombosis to that of natural conception.

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“…Following this first case, a number of papers have reported this complication and .100 cases have been published (Stewart et al, 1997;Rao et al, 2005;Chan and Ginsberg, 2006;Chan and Dixon, 2008;Chan, 2009;Chipwete et al, 2009;Nelson, 2009;Seong et al, 2010;Dorais et al, 2011;Fleming et al, 2012;Mmbaga et al, 2012;Meshksar et al, 2013). In recent years, some reviews of the literature have tried to draw some information from a global analysis of all these reported cases (Stewart et al, 1997;Rao et al, 2005;Chan and Ginsberg, 2006;Chan and Dixon, 2008;Chan, 2009;Nelson, 2009).…”

Section: Ovarian Stimulation and Thrombosismentioning

confidence: 99%

Risk of thrombosis in women with malignancies undergoing ovarian stimulation for fertility preservation

Somigliana

Peccatori

Filippi

et al. 2014

Human Reproduction Update

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A Case with Upper Extremity Deep Vein Thrombosis afterin vitroFertilization

Cited by 4 publications

References 13 publications

Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation

Upper extremity deep venous thrombosis and pulmonary embolus after ovarian hyperstimulation

Assisted reproductive techniques in a patient with history of venous thromboembolism: A case report and review of literature

Risk of thrombosis in women with malignancies undergoing ovarian stimulation for fertility preservation

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