Two personal cases from the pretext for a short discussion on the syndrome defined by Cockett in 1965. The condition is a post-phlebitic syndrome localised to the left common iliac vein. This vein, which is crossed by the right common iliac artery, is in fact the site, at the level of this crossing, of intraluminal and extraluminal lesions whose nature and significance are controversial. The clinical manifestations are those of a severe post-phlebitic syndrome and the classical medical treatments are often inadequate. Surgery can bring about improvement, but its indications must be carefully assessed.
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Indian J Plast Surg
June 2024
Department of Plastic and Microvascular Surgery, VJ Hospital, Tirunelveli, Tamil Nadu, India.
Lower limb deep vein thrombosis (DVT) is associated with significant morbidity and death. DVT can result in complications such as postphlebitic syndrome, pulmonary embolism, and death. Combining pretest probability, D-dimer testing, and compression ultrasound imaging enables a safe and convenient study of suspected lower-extremity thrombosis.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
October 2024
Corewell Health William Beaumont University Hospital, Royal Oak, MI.
A 57-year-old man presented after a fall, which resulted in acetabular and pelvic fractures. He underwent fracture fixation, which was complicated by iliac vein occlusion, leading to phlegmasia cerulea dolens. He underwent lower extremity surgical venous thrombectomy, contralateral iliac vein stent placement, and modified Palma procedure with an expanded polytetrafluoroethylene venous crossover bypass and arteriovenous fistula creation.
View Article and Find Full Text PDFThromb Res
June 2024
Université Paris Cité, Innovative Therapies in Haemostasis, INSERM, 75006 Paris, France; F-CRIN INNOVTE, Saint-Étienne, France; Hematology Department, Assistance Publique Hôpitaux de Paris, 75015 Paris, France.
Background: Post-thrombotic syndrome (PTS) is the main long-term complication of deep vein thrombosis (DVT). Several therapies are being evaluated to prevent or to treat PTS. Identifying the patients most likely to benefit from these therapies presents a significant challenge.
View Article and Find Full Text PDFChirurgie (Heidelb)
January 2024
Klinik für Gefässchirurgie, Luzerner Kantonsspital, Spitalstr., 6000, Luzern 16, Schweiz.
Venous thrombosis is a frequent disorder. A distinction is made between an acute phase of the disease and a chronic manifestation, the postthrombotic syndrome. In particular, proximal venous thrombosis/pelvic vein thrombosis can cause a life-threatening pulmonary embolism during the acute phase of the disease.
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