Treatment of Deep Venous Thrombosis in Pregnant Patients with Friedreich Ataxia

When deep venous thrombosis occurs in a patient who is pregnant and has Friedreich ataxia, anticoagulation choices are constrained by the pregnancy — not all agents that would otherwise be considered are appropriate in this setting.

Clinical scenario

Friedreich ataxia with concurrent deep venous thrombosis in a pregnant patient. The combination of pregnancy and DVT creates specific requirements for anticoagulant selection, as certain agents carry risks that are unacceptable during pregnancy.

Treatment approach

Anticoagulation is indicated, and the preferred agent in this context is selected specifically for its suitability in pregnancy — the choice differs from what would be used outside of this context.

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References

DOI: 10.1186/s13023-022-02568-3

Pregnant women with Friedreich ataxia and deep venous thrombosis should be treated with heparin as opposed to warfarin.

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