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Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm

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Presentation on theme: "Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm"— Presentation transcript:

1 Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm
Morten Vetrhus, MD, PhD, Jørgen Bendik Vennesland, MD, Samir Issa Othman Hasan, MD, Lars Fjetland, MD, PhD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 5, Issue 3, Pages (September 2019) DOI: /j.jvscit Copyright © 2019 The Author(s) Terms and Conditions

2 Fig 1 Axial contrast-enhanced computed tomography (CT) scans the in venous phase from the level of the kidneys to the proximal thigh. A, Abdominal aortic aneurysm (*), left renal vein (arrowheads). B, Aneurysm of the left common iliac artery (large *) and thrombosed common iliac vein (small *). C, Left hydronephrosis (arrow). D, Aneurysmatic and thrombosed left external iliac vein (*). E, Thrombosed left common femoral vein (*) and collateral pelvic veins (arrowheads). F, Thrombosed left superficial femoral vein (*) and a significant edema. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

3 Fig 2 The aortoiliac aneurysm before and after treatment. A, Sagittal three-dimensional maximum intensity projection reconstruction of the aorta and common iliac arteries. B, Aortic angiogram after endovascular aneurysm repair (EVAR), upper part. Dilated left ureter (arrowheads). C, Aortic angiogram after EVAR, lower part. Coil embolized left internal iliac artery (*). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

4 Fig 3 Venograms from the pharmacomechanical thrombectomy and stenting of the external and common iliac veins. A, Superficial femoral vein with thrombus. Distal marker of the 8F introducer sheath from the popliteal vein (arrow). B, The CLEANER XT thrombectomy system clearing the thrombus in the thigh. The sinusoidal shaped wire macerating the thrombus (arrow). C, The aneurysmatic left external iliac vein (*) before stenting and (D) after stenting (arrows marking the distal end of the stents). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

5 Fig 4 Follow-up axial contrast-enhanced computed tomography (CT) scans in the venous phase 14 months after surgery. A, Main body of the stent graft at the level of the right renal artery (arrow). B, Abdominal aortic aneurysm with the two stent graft legs, contrast enhancement in the sack of the aneurysm (arrowhead) indicating a type II endoleak. C, Abdominal aortic aneurysm with the two stent graft legs, contrast enhancement in the sack of the aneurysm (arrowhead) and coiled inferior mesenteric artery (star). D, Right and left common iliac arteries with stent grafts. Open left common iliac vein (*) with stents. E, Open left externa iliac vein and stents (*) at the level of the venous aneurysm. Arrowheads indicating the present diameter of the aneurysm. F, Open left common femoral vein with a stent (*). Persistent dilated pelvic veins (arrowheads). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

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