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Management of Phlegmasia Cerulea Dolens with Percutaneous Mechanical Thrombectomy
- Source :
- CardioVascular and Interventional Radiology. 43:1398-1401
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Advanced cases of phlegmasia cerulea dolens (PCD) with absent pedal pulses, sensory/motor deficits, and/or venous gangrene likely require more rapid restoration of flow compared to cases without these factors to prevent progression and associated morbidity/mortality. We present a case of PCD with absent pedal pulses and sensory deficit managed successfully with emergent percutaneous mechanical thrombectomy using Inari ClotTriever (Inari Medical, Irvine, CA) with immediate clinical resolution, including restoration of pedal pulses ~ 45 min after thrombectomy. Percutaneous mechanical thrombectomy with the ClotTriever device has the ability to immediately restore venous flow reversing the pathophysiology of PCD in a short time period similar to surgical embolectomy and may be an alternative treatment strategy in patients with phlegmasia cerulea dolens of high severity.
- Subjects :
- medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Embolectomy
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
In patient
High severity
Thrombectomy
Phlegmasia cerulea dolens
Leg
Ultrasonography, Doppler, Duplex
business.industry
Middle Aged
Thrombophlebitis
medicine.disease
Alternative treatment
Surgery
Mechanical thrombectomy
Pedal pulses
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1432086X and 01741551
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- CardioVascular and Interventional Radiology
- Accession number :
- edsair.doi.dedup.....b295a3895ead9641a8fdf18c26d7e801