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

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 thr...

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Published in:Cureus 2024, Vol.16 (4), p.e57987-e57987
Main Authors: Hidalgo Oviedo, José Miguel, Muñoz Durán, Julián Andrés, Muñoz-Caicedo, Brayan, Lopera Valle, Johan Sebastian, Plaza Tenorio, Maribel
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container_title Cureus
container_volume 16
creator Hidalgo Oviedo, José Miguel
Muñoz Durán, Julián Andrés
Muñoz-Caicedo, Brayan
Lopera Valle, Johan Sebastian
Plaza Tenorio, Maribel
description 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.
doi_str_mv 10.7759/cureus.57987
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title Interventional Therapy for Upper Extremity Phlegmasia Cerulea Dolens in a Patient With Heparin-Induced Thrombocytopenia: A Case Report
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