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Critical Care: Fellow Case Report Poster - Critical Care II |

Use of a Percutaneous, Large-Bore Cannula to Reduce Venous Clot Burden and Treat Phlegmasia Cerulea Dolens

Kavita Pal, MD; Ziv Haskal, MD; Andrew Mihalek, MD
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University of Virginia, Charlottesville, VA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):242A. doi:10.1016/j.chest.2016.08.255
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SESSION TITLE: Fellow Case Report Poster - Critical Care II

SESSION TYPE: Affiliate Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Phlegmasia cerulea dolens is a form of severe venous thromboembolism (VTE) that can result in a vascular emergency. It is caused by significant thrombosis leading to occlusion, or near occlusion, of the venous drainage system of the limb, characterized by the triad of swelling, pain, and cyanosis (1). It often requires anticoagulation and in some cases thrombolysis (surgical or catheter directed (CDT)). We describe the use of a large bore cannula with mechanical vacuum (AngioVac™ - AngioDynamics, Latham, NY) to debulk an extensive lower extremity thrombus.

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