Cohen Stephanie, Lynch Joshua
Emergency Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
Cureus. 2023 Jan 11;15(1):e33644. doi: 10.7759/cureus.33644. eCollection 2023 Jan.
A 44-year-old male with a history of deep venous thrombosis (DVT) and pulmonary embolism (PE) with the inferior vena cava (IVC) filter in place and peripheral vascular disease (PVD) status post lower extremity vascular stenting presented from a COVID-19 rehabilitation center with bilateral phlegmasia cerulea dolens and no palpable popliteal or dorsalis pedis pulses, at risk for venous gangrene and loss of limbs. The patient was anticoagulated and taken emergently to the operating room for vascular surgery where thrombolysis with alteplase and mechanical thrombectomy were performed. Bilateral thrombolysis infusion catheters were placed for two days. The patient had a return of arterial signals in the feet and decreasing clot burden. The patient is expected to make a full recovery.
一名44岁男性，有深静脉血栓形成（DVT）和肺栓塞（PE）病史，体内植入下腔静脉（IVC）滤器，患有周围血管疾病（PVD），曾接受下肢血管支架置入术，现从新冠康复中心送来，双侧出现疼痛性蓝肿，腘动脉或足背动脉搏动未触及，有发生静脉性坏疽和肢体丧失的风险。患者接受了抗凝治疗，并紧急送往手术室进行血管手术，术中进行了阿替普酶溶栓和机械血栓切除术。双侧放置溶栓输注导管两天。患者足部动脉信号恢复，血栓负荷减轻。预计患者将完全康复。
