Spanish societies update guidance on treating pregnancy-related venous thromboembolism

Low-molecular-weight heparin (LMWH) remains first-line for venous thromboembolism in pregnancy and breastfeeding; vitamin K antagonists are contraindicated at 6–12 weeks and third trimester, and direct oral anticoagulants are contraindicated throughout.

• Developed by the Spanish Societies of Internal Medicine, Medical Radiology, Vascular and Interventional Radiology, and Gynecology and Obstetrics; updates prior recommendations after reviewing recent evidence.
• Reperfusion techniques, including systemic thrombolysis and mechanical thrombectomy, are reserved for hemodynamically unstable pulmonary embolism.

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.