Inherited thrombophilia and pregnancy loss

被引:19
作者
Brenner, B [1 ]
机构
[1] Rambam Med Ctr, Dept Haematol, Thrombosis & Haemostasis Unit, IL-31096 Haifa, Israel
关键词
fetal loss; thrombophilia; low-molecular-weight heparin; placenta; thrombosis;
D O I
10.1016/S1521-6926(02)00097-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A growing body of evidence obtained during the past 6 years suggests a significant role for inherited thrombophilia in the development of gestational vascular complications. Case-control and cross-sectional studies have demonstrated that thrombophilia is more prevalent in cohorts of women with pregnancy loss. Placental pathological findings in women with thrombophilia are hallmarked by thrombosis and fibrin deposition. Preliminary case-control studies suggest that low-molecular-weight heparins (LMWH) are effective in preventing pregnancy loss in women with thrombophilia and previous fetal wastage.
引用
收藏
页码:311 / 320
页数:10
相关论文
共 55 条
[31]   Mutations in coagulation factors in women with unexplained late fetal loss [J].
Martinelli, I ;
Taioli, E ;
Cetin, I ;
Marinoni, A ;
Gerosa, S ;
Villa, MV ;
Bozzo, M ;
Mannucci, PM .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (14) :1015-1018
[32]   Increased risk for fetal loss in carriers of the factor V Leiden mutation [J].
Meinardi, JR ;
Middeldorp, S ;
de Kam, PJ ;
Koopman, MMW ;
van Pampus, ECM ;
Hamulyák, K ;
Prins, MH ;
Büller, HR ;
van der Meer, J .
ANNALS OF INTERNAL MEDICINE, 1999, 130 (09) :736-739
[33]   Primary recurrent miscarriages:: Anti-β2-glycoprotein I IgG antibodies induce an acquired activated protein C resistance that can be detected by the modified activated protein C resistance test [J].
Mercier, E ;
Quere, I ;
Mares, P ;
Gris, JC .
BLOOD, 1998, 92 (08) :2993-2994
[34]   Do placental lesions reflect thrombophilia state in women with adverse pregnancy outcome? [J].
Mousa, HA ;
Alfirevic, Z .
HUMAN REPRODUCTION, 2000, 15 (08) :1830-1833
[35]   Analysis of thrombomodulin gene polymorphism in women with severe early-onset preeclampsia [J].
Nakabayashi, M ;
Yamamoto, S ;
Suzuki, K .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 1999, 25 (05) :473-479
[36]   Hyperhomocysteinemia and recurrent early pregnancy loss: a meta-analysis [J].
Nelen, WLDM ;
Blom, HJ ;
Steegers, EAP ;
den Heijer, M ;
Eskes, TKAB .
FERTILITY AND STERILITY, 2000, 74 (06) :1196-1199
[37]   Increased fetal loss in women with heritable thrombophilia [J].
Preston, FE ;
Rosendaal, FR ;
Walker, ID ;
Briet, E ;
Berntorp, E ;
Conard, J ;
Fontcuberta, J ;
Makris, M ;
Mariani, G ;
Noteboom, W ;
Pabinger, I ;
Legnani, C ;
Scharrer, I ;
Schulman, S ;
vanderMeer, FJM .
LANCET, 1996, 348 (9032) :913-916
[38]   Factor V Leiden and acquired activated protein C resistance among 1000 women with recurrent miscarriage [J].
Rai, R ;
Shlebak, A ;
Cohen, H ;
Backos, M ;
Holmes, Z ;
Marriott, K ;
Regan, L .
HUMAN REPRODUCTION, 2001, 16 (05) :961-965
[39]   Hypercoagulable thrombophilic defects and hyperhomocysteinemia in patients with recurrent pregnancy loss [J].
Raziel, A ;
Kornberg, Y ;
Friedler, S ;
Schachter, M ;
Sela, BA ;
Ron-El, R .
AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2001, 45 (02) :65-71
[40]  
RAZIEL A, 1994, FERTIL STERIL, V62, P1080