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Interventional Mechanical Thrombectomy for Limb Salvage in Rapidly Progressive Phlegmasia Cerulea Dolens
Johan Filo1, Manuel Stern1, Malte Kelm1
1Department of Cardiology, Pulmonology and Vascular Medicine University Hospital Düsseldorf Düsseldorf Germany.
Abstract:
Mechanical thrombectomy can provide rapid, fibrinolysis-free restoration of venous flow in phlegmasia cerulea dolens. This case highlights an unusually severe course with extensive iliofemorocaval thrombosis, rhabdomyolysis, MRI-confirmed muscle necrosis, and arterial hypoperfusion despite anticoagulation, in which urgent intervention achieved limb salvage.
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