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  1. Article ; Online: Successful pregnancy after 10 consecutive failures in a liver transplant patient with advanced kidney failure.

    Cauchy, Leonard / Mousty, Eve / Pageaux, George-Philippe / Moranne, Olivier

    Journal of nephrology

    2024  

    Abstract: We report a successful, albeit complicated pregnancy with a live-born healthy baby at 28 weeks' gestation, after 10 pregnancy failures, in a 39-year-old patient with a history of liver transplantation and chronic kidney disease with hypertension and ... ...

    Abstract We report a successful, albeit complicated pregnancy with a live-born healthy baby at 28 weeks' gestation, after 10 pregnancy failures, in a 39-year-old patient with a history of liver transplantation and chronic kidney disease with hypertension and proteinuria. Multidisciplinary management (obstetrician, nephrologist and hepatology transplant specialist) allowed close monitoring, adaptation of immunosuppressive treatments and strict control of fetal growth. The onset of preeclampsia at 28 weeks' gestation led to a cesarean section, resulting in the birth of a healthy 830 g boy, with subsequent normal development. Following pregnancy, the patient experienced liver transplant rejection, which resolved after adapting immunosuppressive drugs. No deterioration in kidney function was observed in the year following delivery.
    Language English
    Publishing date 2024-05-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1093991-x
    ISSN 1724-6059 ; 1120-3625 ; 1121-8428
    ISSN (online) 1724-6059
    ISSN 1120-3625 ; 1121-8428
    DOI 10.1007/s40620-024-01936-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Fetal intestinal loop dilatation: Follow-up and outcome of a series of 133 consecutive cases (the DILDIG study).

    Mangione, Raphaële / Voirin-Mathieu, Etienne / Yvert, Marianne / Fries, Nicolas / Mousty, Eve / Castaigne, Vanina / Muller, Françoise / Dreux, Sophie

    Prenatal diagnosis

    2023  Volume 43, Issue 3, Page(s) 328–338

    Abstract: Objectives: To define the prognostic markers of fetal dilated bowel loops.: Methods: National non-interventional study of 133 consecutive prenatal observations of dilated loops including ultrasound examinations, complementary laboratory tests, ... ...

    Abstract Objectives: To define the prognostic markers of fetal dilated bowel loops.
    Methods: National non-interventional study of 133 consecutive prenatal observations of dilated loops including ultrasound examinations, complementary laboratory tests, magnetic resonance imaging (MRI), outcomes, and postnatal diagnosis.
    Results: One hundred twenty seven cases were classified according to outcome: Group 1, very severe (n = 43), Group 2, children needing specific care (n = 39), and Group 3, healthy children (n = 45). Prenatal ultrasound scan suggested duodenal obstruction in 30 cases, small bowel obstruction in 81, colonic obstruction in 11, and diffuse dilatation in 5. Diameter of dilated loops did not significantly differ between the groups. A poor prognosis was significantly associated with duodenal obstruction, genetic anomalies (53% vs. 21.8%), including aneuploidies or CFTR gene mutations and abnormal amniotic fluid biochemistry (86.4% vs. 38.7%). A good prognosis was associated with regression of dilatation and normal MRI.
    Conclusion: In this study, postnatal outcomes for fetuses with intestinal dilatation were best predicted by assessing the level of obstruction with prenatal ultrasound and MRI, determining the presence of associated malformations, amniotic fluid biochemical and genetic testing, and monitoring for regression of bowel dilatation. These results should help inform future guidelines on the prenatal and neonatal management of congenital intestinal obstruction.
    MeSH term(s) Female ; Humans ; Infant, Newborn ; Pregnancy ; Amniotic Fluid ; Dilatation ; Dilatation, Pathologic/diagnostic imaging ; Duodenal Obstruction ; Follow-Up Studies ; Prenatal Diagnosis/methods ; Retrospective Studies ; Ultrasonography, Prenatal/methods ; Infant
    Language English
    Publishing date 2023-01-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 82031-3
    ISSN 1097-0223 ; 0197-3851
    ISSN (online) 1097-0223
    ISSN 0197-3851
    DOI 10.1002/pd.6300
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  3. Article: Vital NETosis vs. suicidal NETosis during normal pregnancy and preeclampsia.

    Guillotin, Florence / Fortier, Mathieu / Portes, Marie / Demattei, Christophe / Mousty, Eve / Nouvellon, Eva / Mercier, Eric / Chea, Mathias / Letouzey, Vincent / Gris, Jean-Christophe / Bouvier, Sylvie

    Frontiers in cell and developmental biology

    2023  Volume 10, Page(s) 1099038

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-01-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2737824-X
    ISSN 2296-634X
    ISSN 2296-634X
    DOI 10.3389/fcell.2022.1099038
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  4. Article ; Online: Intimate partner violence as a risk factor for venous thromboembolism in women on combined oral contraceptives: An international matched case-control study.

    Chéa, Mathias / Bourguignon, Chloé / Bouvier, Sylvie / Nouvellon, Eva / Laurent, Jeremy / Perez-Martin, Antonia / Mousty, Eve / Ripart, Sylvie / Nikolaeva, Mariya Gennadevna / Khizroeva, Jamilya / Bitsadze, Victoria / Makatsariya, Alexander / Gris, Jean-Christophe

    European journal of internal medicine

    2023  Volume 122, Page(s) 47–53

    Abstract: Background: Intimate partner violence (IPV) targeting women is probably underestimated during a woman's lifetime. Venous thromboembolism (VTE) is a multifactorial disease associated with haemostasis-activating conditions. Minor injuries can trigger VTE.! ...

    Abstract Background: Intimate partner violence (IPV) targeting women is probably underestimated during a woman's lifetime. Venous thromboembolism (VTE) is a multifactorial disease associated with haemostasis-activating conditions. Minor injuries can trigger VTE.
    Objectives: We aimed to look for an association between VTE and IPV in women taking combined oral contraceptives (COCs) METHODS: We performed a multicentric, international, matched case-control study. Patients were women with a first VTE associated with COC intake. Controls were women taking COCs undergoing regular gynaecological check-ups. Patients and Controls were matched for country, age, length of COC intake and type (997 pairs). IPV was evaluated using the WAST self-administrated questionnaire.
    Results: IPV, defined as a WAST score value at least 5, was diagnosed in 33 Controls (3.3 %) and 109 patients (10.9 %), conditional odds ratio (OR): 3.586, 95 % confidence interval (2.404-5.549), p < 0.0001. After multivariate analysis, the adjusted OR was 3.720 (2.438-5.677), p < 0.0001. Sensitivity analysis using increasing WAST score thresholds confirmed the association.
    Conclusions: A first VTE in women taking COCs is associated with IPV. This association can have strong human consequences but also raises significant medical issues, for instance on the haemorrhagic risk of anticoagulant treatments in abused women. Pathophysiological studies are warranted.
    MeSH term(s) Female ; Humans ; Male ; Contraceptives, Oral, Combined/adverse effects ; Venous Thromboembolism/chemically induced ; Venous Thromboembolism/epidemiology ; Case-Control Studies ; Risk Factors ; Anticoagulants
    Chemical Substances Contraceptives, Oral, Combined ; Anticoagulants
    Language English
    Publishing date 2023-12-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1038679-8
    ISSN 1879-0828 ; 0953-6205
    ISSN (online) 1879-0828
    ISSN 0953-6205
    DOI 10.1016/j.ejim.2023.12.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Micro-CT and high-field MRI for studying very early post-mortem human fetal anatomy at 8 weeks of gestation.

    Lamouroux, Audrey / Cardoso, Maïda / Bottero, Célia / Gallo, Mathieu / Duraes, Martha / Salerno, Jennifer / Bertrand, Martin / Rigau, Valérie / Fuchs, Florent / Mousty, Eve / Genevieve, David / Subsol, Gérard / Goze-Bac, Christophe / Captier, Guillaume

    Prenatal diagnosis

    2023  Volume 44, Issue 1, Page(s) 3–14

    Abstract: Objective: This study involved very early post-mortem (PM) examination of human fetal anatomy at 8 weeks of gestation (WG) using whole-body multimodal micro-imaging: micro-CT and high-field MRI (HF-MRI). We discuss the potential place of this imaging in ...

    Abstract Objective: This study involved very early post-mortem (PM) examination of human fetal anatomy at 8 weeks of gestation (WG) using whole-body multimodal micro-imaging: micro-CT and high-field MRI (HF-MRI). We discuss the potential place of this imaging in early first-trimester virtual autopsy.
    Methods: We performed micro-CT after different contrast-bath protocols including diffusible iodine-based contrast-enhanced (dice) and HF-MRI with a 9.4 T machine with qualitative and quantitative evaluation and obtained histological sections.
    Results: Nine fetuses were included: the crown-rump length was 10-24 mm and corresponded to 7 and 9 WG according to the Robinson formula. The Carnegie stages were 17-21. Dice micro-CT and HF-MRI presented high signal to noise ratio, >5, according to the Rose criterion, and for allowed anatomical phenotyping in these specimens. Imaging did not alter the histology, allowing immunostaining and pathological examination.
    Conclusion: PM non-destructive whole-body multimodal micro-imaging: dice micro-CT and HF-MRI allows for PM human fetal anatomy study as early as 8 WG. It paves the way to virtual autopsy in the very early first trimester. Obtaining a precision phenotype, even regarding miscarriage products, allows a reverse phenotyping to select variants of interest in genome-wide analysis, offering potential genetic counseling for bereaved parents.
    MeSH term(s) Pregnancy ; Female ; Humans ; X-Ray Microtomography/methods ; Fetus/diagnostic imaging ; Gestational Age ; Autopsy/methods ; Magnetic Resonance Imaging/methods
    Language English
    Publishing date 2023-12-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 82031-3
    ISSN 1097-0223 ; 0197-3851
    ISSN (online) 1097-0223
    ISSN 0197-3851
    DOI 10.1002/pd.6489
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Postnatal outcome of children with antenatal colonic hyperechogenicity.

    Fuchs, Florent / Rodriguez, Alexis / Mousty, Eve / Morin, Denis / Roubertie, Agathe / Wells, Constance F / Prodhomme, Olivier / Benoist, Jean-François / Dreux, Sophie / Faure, Jean-Michel / Willems, Marjolaine

    Prenatal diagnosis

    2023  Volume 44, Issue 1, Page(s) 28–34

    Abstract: Objective: To evaluate the postnatal outcome of children with antenatal colonic hyperechogenicity, currently considered as a sign of lysinuria-cystinuria, but which may also be a sign of other disorders with a more severe prognosis.: Method: We ... ...

    Abstract Objective: To evaluate the postnatal outcome of children with antenatal colonic hyperechogenicity, currently considered as a sign of lysinuria-cystinuria, but which may also be a sign of other disorders with a more severe prognosis.
    Method: We carried out a French multi-centric retrospective study via 15 Multidisciplinary Center for Prenatal Diagnosis from January 2011 to January 2021. We included pregnancies for which fetal colonic hyperechogenicity had been demonstrated. We collected the investigations performed during pregnancy and at birth as well as the main clinical features of the mother and the child. We then established the prevalence of pathologies such as lysinuria-cystinuria (LC), hypotonia-cystinuria syndrome (HC), or lysinuric protein intolerance (LPI).
    Results: Among the 33 cases of colonic hyperechogenicity collected, and after exclusion of those lost to follow-up, we identified 63% of children with lysinuria-cystinuria, 8% with lysinuric rotein intolerance, and 4% with hypotonia-cystinuria syndrome.
    Conclusion: Management of prenatal hyperechoic colon should include a specialized consultation with a clinical geneticist to discuss further investigations, which could include invasive amniotic fluid sampling for molecular diagnosis. A better understanding of diagnoses and prognosis should improve medical counseling and guide parental decision making.
    MeSH term(s) Infant, Newborn ; Child ; Pregnancy ; Humans ; Female ; Cystinuria/diagnosis ; Cystinuria/metabolism ; Retrospective Studies ; Prenatal Diagnosis ; Amniotic Fluid/metabolism ; Ultrasonography, Prenatal ; Craniofacial Abnormalities ; Chromosome Deletion ; Muscle Hypotonia ; Intellectual Disability ; Chromosomes, Human, Pair 21 ; Mitochondrial Diseases
    Language English
    Publishing date 2023-12-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 82031-3
    ISSN 1097-0223 ; 0197-3851
    ISSN (online) 1097-0223
    ISSN 0197-3851
    DOI 10.1002/pd.6475
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  7. Article ; Online: Assessment of All-Cause Cancer Incidence Among Individuals With Preeclampsia or Eclampsia During First Pregnancy.

    Serrand, Chris / Mura, Thibault / Fabbro-Peray, Pascale / Seni, Gilles / Mousty, Ève / Boudemaghe, Thierry / Gris, Jean-Christophe

    JAMA network open

    2021  Volume 4, Issue 6, Page(s) e2114486

    Abstract: Importance: Preeclampsia or eclampsia (preeclampsia/eclampsia) during pregnancy induces major physiological changes and may be associated with specific cancer occurrences in later life. The current data regarding the association between preeclampsia/ ... ...

    Abstract Importance: Preeclampsia or eclampsia (preeclampsia/eclampsia) during pregnancy induces major physiological changes and may be associated with specific cancer occurrences in later life. The current data regarding the association between preeclampsia/eclampsia and cancer are heterogeneous, and cancer risk after preeclampsia/eclampsia could be different depending on the organ. These uncertainties warrant reexamination of the association between preeclampsia/eclampsia and the risk of cancer overall and by specific cancer type.
    Objective: To evaluate the risk of cancer, overall and by type, after preeclampsia/eclampsia during a first pregnancy.
    Design, setting, and participants: This retrospective cohort study used data from the French hospital discharge database to identify all female individuals who had a pregnancy-associated hospitalization between January 1, 2010, and December 31, 2019. To allow a minimum of 2 years for the detection of medical history, individuals with a first detected pregnancy before January 1, 2012, were excluded, as were those with a cancer-associated hospitalization before or during their first detected pregnancy. Exposures, comorbidities, and occurrences of cancer were evaluated using data from the medico-administrative registers of hospitalizations in private and public French hospitals. Cox proportional hazards models were used to analyze cancer risk according to the occurrence of preeclampsia/eclampsia during first pregnancy.
    Exposures: Preeclampsia/eclampsia-associated hospitalization during the first detected pregnancy.
    Main outcomes and measures: The primary outcome was the incidence of cancer, including myelodysplastic or myeloproliferative diseases, after a first pregnancy with and without preeclampsia/eclampsia.
    Results: After exclusions, a total of 4 322 970 female individuals (mean [SD] age at first detected pregnancy, 29.6 [6.2] years) with and without preeclampsia/eclampsia during their first pregnancy were included. Of those, 45 523 individuals (1.1%) were diagnosed with preeclampsia/eclampsia during their first detected pregnancy. The maximum follow-up was 8 years, during which 29 173 individuals (0.7%) were diagnosed with cancer. No significant difference in overall cancer incidence was found between those with and without preeclampsia/eclampsia during their first pregnancy (adjusted hazard ratio [AHR], 0.94; 95% CI, 0.84-1.05). Preeclampsia/eclampsia was associated with an increase in the risk of myelodysplastic syndromes or myeloproliferative diseases (AHR, 2.43; 95% CI, 1.46-4.06) and kidney cancer (AHR, 2.19; 95% CI, 1.09-4.42) and a decrease in the risk of breast cancer (AHR, 0.79; 95% CI, 0.62-0.99) and cervical cancer (AHR, 0.75; 95% CI, 0.58-0.96).
    Conclusions and relevance: In this study, a history of preeclampsia/eclampsia during first pregnancy was associated with an increase in the incidence of myelodysplastic or myeloproliferative diseases and kidney cancer and a decrease in the incidence of cervical and breast cancers. These associations might reflect an underlying common factor among preeclampsia/eclampsia and these pathologies and/or an association between preeclampsia/eclampsia and the development of these cancers.
    MeSH term(s) Adolescent ; Adult ; Child ; Cohort Studies ; Correlation of Data ; Female ; Humans ; Incidence ; Middle Aged ; Neoplasms/diagnosis ; Neoplasms/epidemiology ; Pre-Eclampsia/diagnosis ; Pre-Eclampsia/epidemiology ; Pregnancy ; Proportional Hazards Models ; Retrospective Studies
    Language English
    Publishing date 2021-06-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2021.14486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pregnancy after Combined Oral Contraceptive-Associated Venous Thromboembolism: An International Retrospective Study of Outcomes.

    Gris, Jean-Christophe / Bourguignon, Chloé / Bouvier, Sylvie / Nouvellon, Eva / Laurent, Jeremy / Perez-Martin, Antonia / Mousty, Eve / Nikolaeva, Mariya / Khizroeva, Jamilya / Bitsadze, Victoria / Makatsariya, Alexander

    Thrombosis and haemostasis

    2022  Volume 122, Issue 10, Page(s) 1779–1793

    Abstract: Background:  Few data are available on thrombotic outcomes during pregnancy and puerperium occurring after an initial provoked venous thromboembolic (VTE) event.: Objectives:  To describe thrombotic outcomes during pregnancy after a first combined ... ...

    Abstract Background:  Few data are available on thrombotic outcomes during pregnancy and puerperium occurring after an initial provoked venous thromboembolic (VTE) event.
    Objectives:  To describe thrombotic outcomes during pregnancy after a first combined oral contraceptive (COC)-associated VTE and the factors associated with recurrence.
    Methods:  This was an international multicentric retrospective study on patients referred for thrombophilia screening from January 1, 2010 to January 1, 2021 following a first COC-associated VTE, including women with neither inherited thrombophilia nor antiphospholipid antibodies and focusing on those who had a subsequent pregnancy under the same thromboprophylaxis treatment. Thrombotic recurrences during pregnancy and puerperium as well as risk factors for recurrence were analyzed.
    Results:  We included 2,145 pregnant women. A total of 88 thrombotic events, 58 antenatal and 29 postnatal, occurred, mostly during the first trimester of pregnancy and the first 2 weeks of puerperium. Incidence rates were 49.6 (37-62) per 1,000 patient-years during pregnancy and 118.7 (78-159) per 1,000 patient-years during puerperium. Focusing on pulmonary embolism, incidence rates were 1.68 (1-4) per 1,000 patient-years during pregnancy and 65.5 (35-97) per 1,000 patient-years during puerperium.Risk factors for antenatal recurrences were maternal hypercholesterolemia and birth of a very small-for-gestational-age neonate. A risk factor for postnatal recurrence was the incidence of preeclampsia.
    Conclusion:  Our multicentric retrospective data show significant rates of VTE recurrence during pregnancy and puerperium in women with a previous VTE event associated with COC, despite a unique low-molecular-weight heparin-based thromboprophylaxis. These results may provide benchmarks and valuable information for designing future randomized controlled trials.
    MeSH term(s) Antibodies, Antiphospholipid ; Anticoagulants/adverse effects ; Contraceptives, Oral, Combined/adverse effects ; Female ; Heparin, Low-Molecular-Weight ; Humans ; Infant, Newborn ; Pregnancy ; Recurrence ; Retrospective Studies ; Risk Factors ; Thrombophilia/complications ; Thrombophilia/drug therapy ; Thrombosis/drug therapy ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/prevention & control
    Chemical Substances Antibodies, Antiphospholipid ; Anticoagulants ; Contraceptives, Oral, Combined ; Heparin, Low-Molecular-Weight
    Language English
    Publishing date 2022-04-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 518294-3
    ISSN 2567-689X ; 0340-6245
    ISSN (online) 2567-689X
    ISSN 0340-6245
    DOI 10.1055/a-1835-8808
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  9. Article ; Online: Extending the prenatal Noonan's phenotype by review of ultrasound and autopsy data.

    Lamouroux, Audrey / Dauge, Coralie / Wells, Constance / Mousty, Eve / Pinson, Lucile / Cavé, Hélène / Capri, Yline / Faure, Jean-Michel / Grosjean, Frédéric / Sauvestre, Fanny / Attié-Bitach, Tania / Pelluard, Fanny / Geneviève, David

    Prenatal diagnosis

    2022  Volume 42, Issue 5, Page(s) 574–582

    Abstract: Objectives: The antenatal phenotypic spectrum of Noonan Syndrome (NS) requires better characterization.: Methods: This multicenter retrospective observational included 16 fetuses with molecularly confirmed NS admitted for fetopathological examination ...

    Abstract Objectives: The antenatal phenotypic spectrum of Noonan Syndrome (NS) requires better characterization.
    Methods: This multicenter retrospective observational included 16 fetuses with molecularly confirmed NS admitted for fetopathological examination between 2009 and 2016.
    Results: Among 12 pathogenic variants (PV) in PTPN11 (80%), 5 (42%) fell between position c.179 and c.182. Ultrasound showed increased nuchal translucency (n = 13/16, 93%), increased nuchal fold after 15 weeks of gestation (n = 12/16, 75%), pleural effusions (n = 11/16, 69%), polyhydramnios (n = 9/16, 56%), hydrops (n = 7/16, 44%), cardiovascular (n = 6/16, 38%) and cerebral (n = 4/16, 25%) anomalies. Fetopathological examination found dysmorphic features in all cases, cardiovascular anomalies (n = 12/15, 80%), pulmonary hypoplasia (n = 10/15, 67%), effusions (n = 7/15, 47%) and neuropathological anomalies (n = 5/15, 33%). Hydrops was significantly (p = 0.02) more frequent in the four fetuses with RIT1, NRAS and RAF1 PV versus the 12 fetuses with PTPN11 PV.
    Conclusions: Increased nuchal translucency and nuchal fold is common in NS. Noonan Syndrome antenatal phenotype showed high in utero fetal death, hydrops, prenatal pleural effusion and pulmonary hypoplasia, although the inclusion of only deceased fetuses will have selected more severe phenotypes. Non-specific cardiovascular and neurological abnormalities should be added to NS antenatal phenotype. Next generation sequencing will help detect more genotypes, clarifying the prenatal phenotype and identifying genotype-phenotype correlations.
    MeSH term(s) Autopsy ; Edema ; Female ; Humans ; Noonan Syndrome/diagnostic imaging ; Noonan Syndrome/genetics ; Nuchal Translucency Measurement ; Phenotype ; Pregnancy ; Retrospective Studies ; Ultrasonography, Prenatal
    Language English
    Publishing date 2022-03-22
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 82031-3
    ISSN 1097-0223 ; 0197-3851
    ISSN (online) 1097-0223
    ISSN 0197-3851
    DOI 10.1002/pd.6133
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  10. Article ; Online: Combined oral contraceptive-associated venous thromboembolism revealing an antiphospholipid syndrome: International retrospective study of outcomes.

    Gris, Jean-Christophe / Bourguignon, Chloé / Bouvier, Sylvie / Nouvellon, Éva / Laurent, Jeremy / Perez-Martin, Antonia / Mousty, Ève / Nikolaeva, Mariya Gennadevna / Khizroeva, Jamilya / Bitsadze, Victoria / Makatsariya, Alexander

    Thrombosis research

    2022  Volume 219, Page(s) 102–108

    Abstract: Introduction: Limitations in the data used to define thromboprophylaxis for patients with antiphospholipid antibodies (aPLAbs) and thrombosis include uncertainties after an initial provoked venous thromboembolic event (VTE). We aimed to study such cases ...

    Abstract Introduction: Limitations in the data used to define thromboprophylaxis for patients with antiphospholipid antibodies (aPLAbs) and thrombosis include uncertainties after an initial provoked venous thromboembolic event (VTE). We aimed to study such cases associated with combined oral contraceptive (COC) intake.
    Methods: We retrospectively analysed thrombotic outcomes after a first COC-associated VTE and positive aPLAbs, with a low risk HERDOO2 score, on low-dose aspirin (LDA) secondary thromboprophylaxis, seen from 2010 to 2021 in 3 tertiary referral centres, one in France and 2 in Russia. Data from 264 patients (distal deep vein thrombosis DVT: 62.9 %), cumulating in 1327.7 patient-years of observation, were collected.
    Results: There were 22 cases of thrombosis: 16 distal DVTs, 3 proximal, 1 pulmonary embolism (PE) and 2 transient ischemic attacks. Recurrence rate was 1.66 per 100 patient-years (p-y; 95 % CI: 0.96-2.33). No major bleeding occurred. Risk factors affecting recurrence-free survival were the time between first COC intake and VTE (p < 0.0001; the shortest, the lower), proximal DVT (p = 0.021), active smoking (p = 0.039), an associated systemic disease (p = 0.043) and circulating monocyte counts (p = 0.001).
    Conclusions: We observed a low risk of recurrence which was modulated by classical risk factors for VTE. These observational data may provide clues for future randomized controlled trials.
    MeSH term(s) Antibodies, Antiphospholipid ; Anticoagulants/therapeutic use ; Antiphospholipid Syndrome/complications ; Antiphospholipid Syndrome/drug therapy ; Aspirin/therapeutic use ; Contraceptives, Oral, Combined/adverse effects ; Female ; Humans ; Pulmonary Embolism/drug therapy ; Retrospective Studies ; Risk Factors ; Venous Thromboembolism/drug therapy
    Chemical Substances Antibodies, Antiphospholipid ; Anticoagulants ; Contraceptives, Oral, Combined ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2022-09-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121852-9
    ISSN 1879-2472 ; 0049-3848
    ISSN (online) 1879-2472
    ISSN 0049-3848
    DOI 10.1016/j.thromres.2022.09.013
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