Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome
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...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8866030 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550449079648256 |
|---|---|
| author | Ahmad Said Phillip Kraft Luay Sayed |
| author_facet | Ahmad Said Phillip Kraft Luay Sayed |
| author_sort | Ahmad Said |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cd4f63d6f12049538b2ccbeba389491b |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-cd4f63d6f12049538b2ccbeba389491b2025-02-03T06:06:46ZengWileyCase Reports in Vascular Medicine2090-69862090-69942020-01-01202010.1155/2020/88660308866030Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner SyndromeAhmad Said0Phillip Kraft1Luay Sayed2Department of Internal Medicine, Beaumont Health, Troy, MI, USADepartment of Cardiovascular Medicine, Beaumont Health, Troy, MI, USADepartment of Cardiovascular Medicine, Beaumont Health, Troy, MI, USAPhlegmasia 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.http://dx.doi.org/10.1155/2020/8866030 |
| spellingShingle | Ahmad Said Phillip Kraft Luay Sayed Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome Case Reports in Vascular Medicine |
| title | Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome |
| title_full | Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome |
| title_fullStr | Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome |
| title_full_unstemmed | Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome |
| title_short | Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome |
| title_sort | delayed yet successful mechanical thrombectomy for phlegmasia cerulea dolens in a limb with severe arterial disease and may thurner syndrome |
| url | http://dx.doi.org/10.1155/2020/8866030 |
| work_keys_str_mv | AT ahmadsaid delayedyetsuccessfulmechanicalthrombectomyforphlegmasiaceruleadolensinalimbwithseverearterialdiseaseandmaythurnersyndrome AT phillipkraft delayedyetsuccessfulmechanicalthrombectomyforphlegmasiaceruleadolensinalimbwithseverearterialdiseaseandmaythurnersyndrome AT luaysayed delayedyetsuccessfulmechanicalthrombectomyforphlegmasiaceruleadolensinalimbwithseverearterialdiseaseandmaythurnersyndrome |