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Surgical Thrombectomy and Simultaneous Stenting for Phlegmasia Cerulea Dolens Caused by Iliac Vein Occlusion
Surgical Thrombectomy and Simultaneous Stenting for Phlegmasia Cerulea Dolens Caused by Iliac Vein Occlusion
- Source :
- Annals of vascular surgery. 51
- Publication Year :
- 2017
-
Abstract
- Background Phlegmasia cerulea dolens (PCD) is a severe complication of deep veions thrombosis, and there are several treatment methods. This study aimed to investigate the clinical efficacy of surgical thrombectomy and simultaneous iliac vein stent implantation for the treatment of PCD caused by iliac vein occlusion. Purpose This study aimed to investigate the clinical efficacy of surgical thrombectomy and simultaneous iliac vein stent implantation for the treatment of phlegmasia cerulea dolens (PCD) caused by iliac vein occlusion. Methods From February 2014 to December 2016, 5 patients with secondary PCD complicated with iliac vein occlusion were treated in our center. Thrombectomy by venous incision was performed with simultaneous iliac vein balloon dilatation and stents implantation. Efficacy and stents patency were assessed. Iliac vein occlusions were confirmed in all 5 patients by angiography after the thrombectomy. Stents implantation were performed after balloon dilatation. Three stents were implanted in 1 case of iliac vein and inferior vena cava (IVC) occlusion, whereas 1 stent was implanted in each of the other 4 cases. Results Symptoms were significantly relieved after surgery, with no complications. Patients were followed up for 6–24 months, and minor swelling of the affected limb was found in 1 case, with no thrombosis recurrence in all cases and vascular stent patency. Conclusions Thrombectomy by venous incision and simultaneous iliac vein stent implantation for the treatment of PCD caused by iliac vein occlusion can quickly relieve symptoms, is easily implemented, is associated with fewer complications, and has good midterm efficacy and a high patency rate, making this technique a good treatment method.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Computed Tomography Angiography
medicine.medical_treatment
030204 cardiovascular system & hematology
Iliac Vein
Inferior vena cava
03 medical and health sciences
0302 clinical medicine
Angioplasty
Occlusion
Medicine
Humans
030212 general & internal medicine
Vein
Vascular Patency
Phlegmasia cerulea dolens
Thrombectomy
Venous Thrombosis
business.industry
Stent
General Medicine
Phlebography
Middle Aged
Thrombophlebitis
medicine.disease
Thrombosis
Vein occlusion
Surgery
medicine.anatomical_structure
Treatment Outcome
medicine.vein
cardiovascular system
Female
Stents
Cardiology and Cardiovascular Medicine
business
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 16155947
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Annals of vascular surgery
- Accession number :
- edsair.doi.dedup.....75a81cef8aeb24cd21e12b36774b4f51