Endoluminal recanalization in a patient with phlegmasia cerulea dolens using a multimodality approach-a case report.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Lin, SC; Mousa, A; Bernheim, J; Dayal, R; Henderson, P; Hollenbeck, S; Kent, KC; Faries, PL

Published Date

  • May 2005

Published In

Volume / Issue

  • 39 / 3

Start / End Page

  • 273 - 279

PubMed ID

  • 15920657

International Standard Serial Number (ISSN)

  • 1538-5744

Digital Object Identifier (DOI)

  • 10.1177/153857440503900309


  • eng

Conference Location

  • United States