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 Duffy In 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-syndrome Multiple AVMs during pregnancy: https://www.degruyterbrill.com/document/doi/10.1515/crpm-2014-0014/html?srsltid=AYCX9vLFUwZn2XOeuQZhx0y6Or5BtPNR8S2funjn5c60TIGl2dHdh_qS Click 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 LEXI CONNECT WITH DR LEXI Website; Instagram; Twitter; Facebook LISTEN / SUBSCRIBE TO THE PODCAST Apple Podcasts; Spotify; Amazon
