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Effective single-session percutaneous nonpharmacologic mechanical thrombectomy for phlegmasia cerulea dolens

Nicolas J. Mouawad

2020Journal of Vascular Surgery Cases and Innovative Techniques13 citationsDOIOpen Access PDF

Abstract

Phlegmasia cerulea dolens can be a potentially devastating complication of severe deep venous thrombosis leading to limb ischemia and tissue necrosis. This report describes a patient presenting with phlegmasia cerulea dolens of the right lower extremity. Because of the urgent nature of the condition, percutaneous nonpharmacologic mechanical thrombectomy in a single session was pursued. Extensive thrombus burden was removed from the patient, and vessel patency was restored after balloon venoplasty. The patient's symptoms rapidly resolved, and the targeted vessels remain patent at 3-month follow-up.

Topics & Concepts

MedicinePercutaneousSurgeryThrombosisThrombusVenous thrombosisComplicationBalloonVenous Thromboembolism Diagnosis and ManagementDiagnosis and Treatment of Venous DiseasesPeripheral Nerve Disorders
Effective single-session percutaneous nonpharmacologic mechanical thrombectomy for phlegmasia cerulea dolens | Litcius