Manual aspiration thrombectomy with stent placement: rapid and effective treatment for phlegmasia cerulea dolens with impending venous gangrene.
Phlegmasia cerulea dolens is an uncommon but potentially life-threatening complication of acute deep vein thrombosis. It is an emergency and delay in treatment may cause death or loss of the patient's limb. Surgical thrombectomy is the recommended treatment in venous gangrene. Catheter-directed intrathrombus thrombolysis has been reported as successful, but it may require a lengthy infusion. Manual aspiration thrombectomy may clear the entire thrombus with no need for thrombolytic administration and provide rapid and effective treatment for patients with phlegmasia cerulea dolens with impending venous gangrene.
Oguzkurt
Levent
L
Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey. loguzkurt@yahoo.com
Tercan
Fahri
F
Ozkan
Ugur
U
D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage; D003490:Cyanosis / Q000209:etiology; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005734:Gangrene / Q000517:prevention & control; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D035002:Lower Extremity / Q000000981:diagnostic imaging / Q000473:pathology; D035583:Rare Diseases; D012307:Risk Factors; D015607:Stents; D013396:Suction; D017131:Thrombectomy / Q000379:methods*; D013924:Thrombophlebitis / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014859:Warfarin / Q000008:administration & dosage
D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin