An alternative approach: Antegrade catheter-directed thrombolysis in a case of phlegmasia cerulea dolens

Phlegmasia cerulea dolens is an uncommon sequela of severe deep venous thro mbosis of the lower extremities. Characterized by massive edema, arterial a nd venous compromise, and threats to limb and life, this clinical entity is a clear indication for thrombolytic therapy. We report an innovative appro ach to conventional thrombolysis via a lesser saphenous vein cut-down. This simple technique is a safe, reliable alternative to present methods of ach ieving deep venous access. Hence, it should be considered as an addition to the treatment armamentarium for massive deep venous thrombosis of the lowe r extremity.