Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome.
Document Type
Article
Publication Date
11-1-2020
Publication Title
Case reports in vascular medicine
Abstract
Phlegmasia cerulea dolens (PCD) is a rare but life-threatening complication of acute deep venous thrombosis that lacks consensus regarding the approach to management. We present a case of PCD developing shortly after a spinal surgery and manifesting as acute swelling and discoloration in a leg with existing severe atherosclerotic arterial disease. The patient's critical limb ischemia was completely and rapidly reversed by percutaneous mechanical thrombectomy using the ClotTriever device despite a delay in treatment. An underlying iliac vein compression "May-Thurner" syndrome was discovered using intravascular ultrasound and treated with angioplasty. This case identifies mechanical thrombectomy using the ClotTriever system as a possible effective and safe treatment for PCD.
Volume
2020
First Page
8866030
Last Page
8866030
Recommended Citation
Said A, Kraft P, Sayed L. Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome. Case Rep Vasc Med. 2020 Nov 1;2020:8866030. doi: 10.1155/2020/8866030. PMID: 33204571; PMCID: PMC7652628.
DOI
10.1155/2020/8866030
ISSN
2090-6986
PubMed ID
33204571