Iliac Vein Stenting and Thrombectomy Result in Limb Salvage in Phlegmasia Caerulea Dolens as a Result of Heavy Fibroid Burden

Am Surg. 2024 Apr 18:31348241248692. doi: 10.1177/00031348241248692. Online ahead of print.ABSTRACTPhlegmasia cerulea dolens is a devastating sequelae of propagating deep vein thrombosis causing total venous outflow obstruction of an extremity. It is characterized by significant pain, edema, cyanosis, and critical limb ischemia and may progress toward venous gangrene. Morbidity and mortality rates associated with this phenomenon are high. Treatment options are limited and consist of early and aggressive therapeutic anticoagulation and fluid resuscitation, followed by thrombectomy or thrombolysis if the patient fails to respond clinically in 6-12 hours.PMID:38636556 | DOI:10.1177/00031348241248692

Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Syed A Zamin Marc Mitchell Source Type: research