Catheter-directed thrombolysis in the treatment of phlegmasia cerulea dolens.
Phlegmasia cerulea dolens is a potentially devastating complication of extensive deep venous thrombosis for which there is currently no consensus for treatment. Heparin anticoagulation, surgical thrombectomy, thrombolytic therapy, fasciotomy, and amputation have each been advocated. We present two cases of phlegmasia cerulea dolens successfully treated with catheter-directed venous thrombolytic therapy.
Patel
N H
NH
Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, Seattle, USA.
Plorde
J J
JJ
Meissner
M
M
D000328:Adult; D000368:Aged; D002404:Catheterization; D005260:Female; D006801:Humans; D008297:Male; D010960:Plasminogen Activators / Q000008:administration & dosage*; D011859:Radiography; D015912:Thrombolytic Therapy / Q000379:methods*; D013924:Thrombophlebitis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator