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Interventional Therapy for Upper Extremity Phlegmasia Cerulea Dolens in a Patient With Heparin-Induced Thrombocytopenia: A Case Report.

作者信息

Hidalgo Oviedo José Miguel, Muñoz Durán Julián Andrés, Muñoz-Caicedo Brayan, Lopera Valle Johan Sebastian, Plaza Tenorio Maribel

机构信息

Department of Interventional Radiology, Hospital Pablo Tobón Uribe, Medellín, COL.

Department of Radiology, Universidad de Antioquia, Medellín, COL.

出版信息

Cureus. 2024 Apr 10;16(4):e57987. doi: 10.7759/cureus.57987. eCollection 2024 Apr.

DOI:10.7759/cureus.57987
PMID:38738034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11086005/
Abstract

This article presents a case of a multimorbid 63-year-old woman with chronic kidney disease and heparin-induced thrombocytopenia (HIT). Following the insertion of a central venous catheter, she developed phlegmasia cerulea dolens (PCD) in her left arm, a rare and severe complication of deep vein thrombosis (DVT). Given the severity of the case, adapting to anticoagulant contraindications or unavailability, management with catheter-directed thrombolysis and mechanical thrombectomy was made. It is concluded that catheter-directed thrombolysis and mechanical thrombectomy are valuable therapeutic alternatives in critical situations where treatment options are limited.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/11086005/0a1e99adf84d/cureus-0016-00000057987-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/11086005/38dbb6aa3540/cureus-0016-00000057987-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/11086005/0a1e99adf84d/cureus-0016-00000057987-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/11086005/38dbb6aa3540/cureus-0016-00000057987-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25f/11086005/0a1e99adf84d/cureus-0016-00000057987-i02.jpg

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本文引用的文献

1
Successful treatment of phlegmasia cerulea dolens with percutaneous thrombectomy and catheter-directed thrombolysis: A case report.经皮血栓切除术和导管溶栓成功治疗青肿性静脉炎:病例报告。
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Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Literature Review.上肢蓝色淤滞症:病例报告及文献复习。
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Outcomes of rheolytic thrombectomy in phlegmasia cerulea dolens.
蓝色静脉炎行血栓消融术的疗效
Vascular. 2021 Apr;29(2):280-289. doi: 10.1177/1708538120943320. Epub 2020 Jul 26.
4
Pacemaker-associated Phlegmasia Cerulea Dolens Treated with Catheter-directed Thrombolysis.导管定向溶栓治疗起搏器相关的股青肿
Clin Pract Cases Emerg Med. 2018 Sep 5;2(4):316-319. doi: 10.5811/cpcem.2018.8.39444. eCollection 2018 Nov.
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Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis.上肢股青肿:一例报告及系统评价与结局分析
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Central venous catheters and upper-extremity deep-vein thrombosis complicating immune heparin-induced thrombocytopenia.中心静脉导管与上肢深静脉血栓形成并发免疫性肝素诱导的血小板减少症。
Blood. 2003 Apr 15;101(8):3049-51. doi: 10.1182/blood-2002-05-1448. Epub 2002 Dec 27.