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Phlegmasia Cerulea Dolens: A Life-Threatening Manifestation of Deep Vein Thrombosis

Chung-Ting J Kou1, Caitlin Batzlaff1, Matthew L Bezzant1

  • 1Internal Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

Cureus
|July 17, 2020
PubMed

Insights

Phlegmasia cerulea dolens (PCD), a severe deep vein thrombosis, can lead to limb loss. This case demonstrates successful treatment of PCD using an EkoSonic™ endovascular catheter, preserving the patient's limb.

Area of Science:

  • Vascular Medicine
  • Interventional Cardiology
  • Thrombosis Research

Background:

  • Deep vein thrombosis (DVT) is a prevalent condition managed with anticoagulation.
  • Phlegmasia cerulea dolens (PCD) is a rare but critical DVT complication.
  • PCD necessitates prompt and aggressive intervention to prevent limb ischemia and loss.

Observation:

  • A patient presented with phlegmasia cerulea dolens affecting the left lower extremity.
  • The condition was characterized by severe swelling, pain, and cyanosis.
  • PCD poses a significant risk of gangrene and subsequent amputation.

Findings:

  • Successful treatment of PCD was achieved using an EkoSonic™ endovascular catheter.
  • This innovative device utilizes ultrasound technology to enhance thrombolytic drug dispersion.
  • The endovascular approach facilitated accelerated clot lysis and reperfusion.

Implications:

  • The EkoSonic™ catheter offers a promising therapeutic option for phlegmasia cerulea dolens.
  • Early recognition and intervention with advanced endovascular techniques can improve patient outcomes.
  • This case highlights the potential to salvage limbs threatened by severe DVT manifestations.

Keywords:
deep venous thrombosisendovascular catheter-directed thrombolysisgangrenephlegmasia cerulea dolensthrombectomyvenous thrombosis

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