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[Blue phlebitis with exo- and endo-caval filters: 5 case reports]
1Faculté libre de médecine de Lille, Wimille.
Insights
Phlegmatia caerulea dolens, a severe complication, can occur after caval blocking procedures, even years later. This highlights the need for careful patient selection and consideration of venous stasis risk factors.
Area of Science:
- Vascular Surgery
- Thrombosis Research
- Medical Case Reports
Background:
- Phlegmatia caerulea dolens (PCD) is a rare but severe form of deep vein thrombosis.
- Caval blocking procedures are used to prevent pulmonary embolism but may carry risks.
- Understanding complications associated with caval filters is crucial for patient safety.
Abstract:
5 cases of phlegmatia caerula dolens have been observed after the fixation of a cava blocking. You will find below the characteristics of the case reports: Mean age of patients: 69.2, from 55 to 83. Early phlegmatiae caeruleae dolens: 2 cases; late phlegmatiae: 3 cases (3 and 4 years after the cava ligature). Clinical context: advanced age; general state alteration 1 case; artery predisposition: 2 cases; heparin thrombopenia: 1 case. Responsible material: ombrelle de Mobin Uddin: 3 cases; Adams-De Weese's Clip: 2 cases. Current filters are probably less thrombogenous. Nevertheless, these case reports make us aware of the fact that in case of predisposition and/or in case of precary hemodynamic conditions, any factor likely to generate or worsen a venous stasis can originate (immediately or later) a significant thrombosis and, particularly in a few conditions, a phlegmatia caerulea dolens. Consequently, partial cava blocking indications must be seriously taken into consideration and saved for cases in which embolic risk is patent.