Direct Iliac Vein Stenting in Phlegmasia Cerulea Dolens Caused by May–Thurner Syndrome
- Author:
Nikolaos GALANAKIS
1
;
Nikolaos KONTOPODIS
;
Elias KEHAGIAS
;
Nikolaos DASKALAKIS
;
Konstantinos TSETIS
;
Christos V. IOANNOU
;
Dimitrios TSETIS
Author Information
- Publication Type:Case Report
- From:Vascular Specialist International 2021;37(4):37-
- CountryRepublic of Korea
- Language:English
- Abstract: Phlegmasia cerulea dolens (PCD) is an uncommon but potentially limb-threatening complication of acute deep vein thrombosis. A 56-year-old male presented with PCD. Color Doppler ultrasonography revealed extensive thrombosis of the left superficial and common femoral and external and common iliac veins. After an unsuccessful iliofemoral thrombectomy, contrast-enhanced computed tomography revealed iliofemoral deep vein thrombosis due to May–Thurner syndrome (MTS). After the deployment of an inferior vena cava filter, the thrombotic occlusion was traversed with a guidewire and direct stenting was performed to achieve immediate recanalization. The patient was discharged two days after the procedure, demonstrating significant clinical improvement. MTS is a rare cause of PCD. Direct iliac vein stenting may be a safe and effective alternative treatment for rapid recanalization if percutaneous mechanical thrombectomy devices are unavailable.
