Thrombectomy and isolated limb perfusion with urokinase in the treatment of phlegmasia cerulea dolens.
Phlegmasia cerulea dolens is a rare form of deep vein thrombosis. A patient with recurrent episodes of such thrombosis caused by protein C deficiency who developed phlegmasia cerulea dolens is reported. Limb perfusion with urokinase successfully restored venous outflow after unsuccessful attempts at thrombectomy.
Sciolaro
C
C
Section of Vascular Surgery, Veterans Affairs Medical Center, Tucson, Arizona.
Hunter
G C
GC
McIntyre
K E
KE
Bull
D A
DA
Parent
F N
FN
Bernhard
V M
VM
D000328:Adult; D000792:Angiography; D002404:Catheterization; D003131:Combined Modality Therapy; D005260:Female; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial; D007262:Infusions, Intravenous; D020151:Protein C Deficiency; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D013924:Thrombophlebitis / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator