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Surgical Thrombectomy and Simultaneous Stenting for Phlegmasia Cerulea Dolens Caused by Iliac Vein Occlusion

Xicheng Zhang1, Zhaolei Chen1, Yuan Sun1

  • 1Department of Vascular Surgery, Clinical Medical College of Yangzhou University, Yangzhou, China.

Annals of Vascular Surgery
|March 9, 2018
PubMed

Insights

Surgical thrombectomy with iliac vein stenting effectively treats phlegmasia cerulea dolens (PCD) caused by iliac vein occlusion, offering rapid symptom relief and good midterm outcomes.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Thrombosis Management

Background:

  • Phlegmasia cerulea dolens (PCD) is a severe deep vein thrombosis complication.
  • Effective treatment strategies for PCD secondary to iliac vein occlusion are crucial.

Purpose of the Study:

  • To evaluate the clinical efficacy of surgical thrombectomy and simultaneous iliac vein stent implantation for PCD.
  • To assess symptom relief, complication rates, and stent patency in PCD patients.

Main Methods:

  • Retrospective analysis of 5 patients with PCD and iliac vein occlusion (Feb 2014-Dec 2016).
  • Surgical thrombectomy via venous incision, followed by balloon angioplasty and iliac vein stent implantation.
  • Angiographic confirmation of occlusion and assessment of efficacy and stent patency.

Main Results:

  • All patients experienced significant symptom relief post-surgery with no immediate complications.
  • Follow-up (6-24 months) showed no thrombosis recurrence and maintained vascular stent patency.
  • Minor limb swelling occurred in one patient, indicating good overall limb salvage.

Conclusions:

  • Surgical thrombectomy combined with iliac vein stenting is a viable treatment for PCD.
  • This technique provides rapid symptom relief, is technically feasible, and has a low complication rate.
  • The procedure demonstrates good midterm efficacy and high stent patency rates.
Abstract

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