Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 1/2008

01-01-2008 | Case Report

Manual Aspiration Thrombectomy with Stent Placement: Rapid and Effective Treatment for Phlegmasia Cerulea Dolens with Impending Venous Gangrene

Authors: Levent Oguzkurt, Fahri Tercan, Ugur Ozkan

Published in: CardioVascular and Interventional Radiology | Issue 1/2008

Login to get access

Abstract

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.
Literature
1.
go back to reference Brockman SK, Vasko JS (1965) Phlegmasia cerulean dolens. Surg Gynecol Obstet 121:1347–1356PubMed Brockman SK, Vasko JS (1965) Phlegmasia cerulean dolens. Surg Gynecol Obstet 121:1347–1356PubMed
2.
go back to reference Weaver FA, Meacham PW, Adkins RB, Dean RH (1988) Phlegmasia cerulea dolens: Therapeutic considerations. South Med J 81:306–312PubMed Weaver FA, Meacham PW, Adkins RB, Dean RH (1988) Phlegmasia cerulea dolens: Therapeutic considerations. South Med J 81:306–312PubMed
3.
go back to reference Starck EE, McDermott JC, Crummy AB, Turnipseed WD, Acher CW, Burges JH (1985) Percutaneous aspiration thrombectomy. Radiology 156:61–66PubMed Starck EE, McDermott JC, Crummy AB, Turnipseed WD, Acher CW, Burges JH (1985) Percutaneous aspiration thrombectomy. Radiology 156:61–66PubMed
4.
go back to reference Vedantham S, Vesely T, Parti N, Darcy M, Hovsepian D, Picus D (2002) Lower extremity venous thrombolysis with adjunctive mechanical thrombectomy. J Vasc Interv Radiol 13:1001–1008PubMedCrossRef Vedantham S, Vesely T, Parti N, Darcy M, Hovsepian D, Picus D (2002) Lower extremity venous thrombolysis with adjunctive mechanical thrombectomy. J Vasc Interv Radiol 13:1001–1008PubMedCrossRef
5.
go back to reference Hood DB, Weaver FA, Modrall JG, Yellin AE (1993) Advances in the treatment of phlegmasia cerulea dolens. Am J Surg 166:206–210PubMedCrossRef Hood DB, Weaver FA, Modrall JG, Yellin AE (1993) Advances in the treatment of phlegmasia cerulea dolens. Am J Surg 166:206–210PubMedCrossRef
6.
go back to reference Elliot MS, Immelman EJ, Jeffrey P, et al. (1979) The role of thrombolytic therapy in the management of phlegmasia cerulea dolens. Br J Surg 66:422–424PubMedCrossRef Elliot MS, Immelman EJ, Jeffrey P, et al. (1979) The role of thrombolytic therapy in the management of phlegmasia cerulea dolens. Br J Surg 66:422–424PubMedCrossRef
7.
go back to reference Robinson DL, Teitelbaum GP (1993) Phlegmasia cerulean dolens: Treatment by pulse-spray and infusion thrombolysis. AJR Am J Roentgenol 160:1288–1290PubMed Robinson DL, Teitelbaum GP (1993) Phlegmasia cerulean dolens: Treatment by pulse-spray and infusion thrombolysis. AJR Am J Roentgenol 160:1288–1290PubMed
8.
go back to reference Mewissen MW, Seabrook GR, Meissner MH, et al. (1999) Catheter-directed thrombolysis of lower extremity deep vein thrombosis: Report of a multicenter registry. Radiology 211:39–49PubMed Mewissen MW, Seabrook GR, Meissner MH, et al. (1999) Catheter-directed thrombolysis of lower extremity deep vein thrombosis: Report of a multicenter registry. Radiology 211:39–49PubMed
9.
go back to reference Patel NH, Plorde JJ, Meissner M (1998) Catheter-directed thrombolysis in the treatment of phlegmasia cerulea dolens. Ann Vasc Surg 12:471–475PubMedCrossRef Patel NH, Plorde JJ, Meissner M (1998) Catheter-directed thrombolysis in the treatment of phlegmasia cerulea dolens. Ann Vasc Surg 12:471–475PubMedCrossRef
10.
go back to reference Turmel-Rodrigues L, Raynaud A, Louail B, Beyssen B, Sapoval M (2001) Manual catheter-directed aspiration and other thrombectomy techniques for declotting native fistulas for hemodialysis. J Vasc Interv Radiol 12:1365–1371PubMedCrossRef Turmel-Rodrigues L, Raynaud A, Louail B, Beyssen B, Sapoval M (2001) Manual catheter-directed aspiration and other thrombectomy techniques for declotting native fistulas for hemodialysis. J Vasc Interv Radiol 12:1365–1371PubMedCrossRef
11.
go back to reference Rigatelli G, Cardaioli P, Roncon L, Giordan M, Milan T, Zonzin P (2006) Combined percutaneous aspiration thrombectomy and rheolytic thrombectomy in massive subacute vena cava thrombosis with IVC filter occlusion. J Endovasc Ther 13:373–376PubMedCrossRef Rigatelli G, Cardaioli P, Roncon L, Giordan M, Milan T, Zonzin P (2006) Combined percutaneous aspiration thrombectomy and rheolytic thrombectomy in massive subacute vena cava thrombosis with IVC filter occlusion. J Endovasc Ther 13:373–376PubMedCrossRef
12.
go back to reference Lee KH, Han H, Lee KJ, et al. (2006) Mechanical thrombectomy of acute iliofemoral deep vein thrombosis with use of an Arrow-Trerotola percutaneous thrombectomy device. J Vasc Interv Radiol 17:487–495PubMedCrossRef Lee KH, Han H, Lee KJ, et al. (2006) Mechanical thrombectomy of acute iliofemoral deep vein thrombosis with use of an Arrow-Trerotola percutaneous thrombectomy device. J Vasc Interv Radiol 17:487–495PubMedCrossRef
13.
go back to reference Oguzkurt L, Ozkan U, Tercan F, Koc Z (2007) Catheter-directed thrombolysis of acute deep vein thrombosis in the lower extremity of a child with interrupted inferior vena cava. Cardiovasc Intervent Radiol 30:332–334PubMedCrossRef Oguzkurt L, Ozkan U, Tercan F, Koc Z (2007) Catheter-directed thrombolysis of acute deep vein thrombosis in the lower extremity of a child with interrupted inferior vena cava. Cardiovasc Intervent Radiol 30:332–334PubMedCrossRef
14.
go back to reference O’Sullivan GJ, Semba CP, Bittner CA, et al. (2000) Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol 11:823–836PubMedCrossRef O’Sullivan GJ, Semba CP, Bittner CA, et al. (2000) Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol 11:823–836PubMedCrossRef
15.
go back to reference Mickley V, Schwagierek R, Rilinger N, Gorich J, Sunder-Plassmann L (1998) Left iliac venous thrombosis caused by venous spur: Treatment with thrombectomy and stent placement. J Vasc Surg 28:492–497PubMedCrossRef Mickley V, Schwagierek R, Rilinger N, Gorich J, Sunder-Plassmann L (1998) Left iliac venous thrombosis caused by venous spur: Treatment with thrombectomy and stent placement. J Vasc Surg 28:492–497PubMedCrossRef
Metadata
Title
Manual Aspiration Thrombectomy with Stent Placement: Rapid and Effective Treatment for Phlegmasia Cerulea Dolens with Impending Venous Gangrene
Authors
Levent Oguzkurt
Fahri Tercan
Ugur Ozkan
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 1/2008
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-007-9156-9

Other articles of this Issue 1/2008

CardioVascular and Interventional Radiology 1/2008 Go to the issue