Surgical Thrombectomy for Phlegmasia Cerulea Dolens
نویسندگان
چکیده
Phlegmasia cerulea dolens (PCD) is a medical emergency that can lead to venous gangrene of the lower extremity. Early diagnosis and prompt treatment is crucial for limb salvage. There are two treatment options (endovascular or surgical). In the endovascular era, catheter-directed thrombolysis is the treatment of choice to achieve venous outflow. However, surgical thrombectomy is indicated in certain cases. The authors report successful surgical thrombectomy in a 75-year-old man with PCD and review the treatment of PCD.
منابع مشابه
Circulation studies in experimental phlegmasia cerulea dolens.
Phlegmasia cerulea dolens, or massive venous occlusion leading to circulatory tissue compromise, is a rare but serious disease which is associated with considerable morbidity and mortality [5,7]. The optimal treatment for phlegmasia is controversial, not only because the disease is uncommon, limiting the experience of any one group of surgeons, but also because the lack of an acceptable animal ...
متن کاملAdvances in the treatment of phlegmasia cerulea dolens.
Phlegmasia cerulea dolens (PCD) is an uncommon, severe form of lower extremity deep venous thrombosis characterized by extremity swelling, cyanosis, and pain. Progression of the thrombotic process may result in extremity gangrene, amputation, and death. The relative value of specific therapeutic regimens in the treatment of this disease remains uncertain. Twelve patients, 9 females and 3 males,...
متن کاملPhlegmasia cerulea dolens in patient with systemic lupus erythematosus in the remote postpartum period.
Vascular manifestations are not rare in systemic lupus erythematosus and, in most cases, are associated with antiphospholipid antibodies. Phlegmasia cerulea dolens is an unusual and severe complication of deep venous thrombosis of the lower limbs, which has a high mortality rate. In the literature, only two cases of phlegmasia cerulea dolens associated with primary antiphospholipid syndrome hav...
متن کاملSuccessful treatment of posttraumatic phlegmasia cerulea dolens by reconstructing the external iliac vein: a case report
INTRODUCTION Phlegmasia cerulea dolens is a rare condition caused by complete venous occlusion leading to impaired arterial flow. To prevent progression to limb gangrene, prompt diagnosis and treatment initiation are paramount. Here we report a rare case of posttraumatic phlegmasia cerulea dolens after ligation of the iliac vein to save the patient's life, with successful treatment by reconstru...
متن کاملPhlegmasia Cerulea Dolens and May–Thurner Syndrome in the first trimester of Pregnancy
Background Venous thromboembolism in pregnancy remains one of the leading causes of morbidity and mortality. Case A young, gravid patient presented with a cyanotic, edematous left lower extremity with no distal pulses palpable. She was emergently taken to the operating room and was found to have extensive iliofemoral thrombosis requiring femoral angioplasty and embolectomy with 43.7-rad intraop...
متن کامل