Management of Phlegmasia Cerulea Dolens with Percutaneous Mechanical Thrombectomy

Ramsey A. Al-Hakim, Alexander Boscanin, David D. Prosser, John A. Kaufman

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1398-1401
Number of pages4
JournalCardiovascular and interventional radiology
Volume43
Issue number9
DOIs
StatePublished - Sep 1 2020

Keywords

  • Deep venous thrombosis
  • Mechanical thrombectomy
  • Phlegmasia cerulea dolens

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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