Endoluminal recanalization in a patient with phlegmasia cerulea dolens using a multimodality approach: A case report

Stephanie C. Lin, Albeir Mousa, Joshua Bernheim, Rajeev Dayal, Peter Henderson, Scott Hollenbeck, K. Craig Kent, Peter L. Faries

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Phlegmasia cerulea dolens is a limb-threatening form of deep venous thrombosis and should be treated aggressively. The authors report a patient who presented with iliocaval and femoral deep venous thrombosis and posed an additional therapeutic challenge based on a recent history of heparin-induced thrombocytopenia. Catheter-directed pharmacologic thrombolysis and balloon venoplasty were applied in treatment. The direct thrombin inhibitor argatroban was used in place of heparin for concurrent anticoagulation. This multimodality endovascular approach (chemical and mechanical interventions) was successful in relieving the venous occlusion and salvaging the limb, while maintaining appropriate treatment for heparin-induced thrombocytopenia.

Original languageEnglish
Pages (from-to)273-279
Number of pages7
JournalVascular and Endovascular Surgery
Volume39
Issue number3
DOIs
StatePublished - 2005
Externally publishedYes

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