Objective:To investigate the effect of comprehensive therapy for Cockett syndrome.
:Methods :We retrospectively compared and analyzed the curative effects of comprehensive treatments involving cava filter placement, embolectomy and venous thrombolysis on 7 cases of Cockett syndrome complicated with phlegmasia cerulea dolens (PCD).
:Results:The 7 cases showed classical PCD manifestations with absence of pulsation of dorsalis pedis and posterior tibial arteries, and the diagnosis of Cockett syndrome with associated PCD was confirmed by doppler ultrasound All cases received embolectomy combined with venous thrombolysis, 3 underwent cava filter placement, 3 underwent Fogarty catheter interruption, and 1 underwent PALMA operation. After operation, the dorsalis pedis artery pulsation was restored, pain and swelling disappeared, and there were no postoperative complications in all the 7 cases. Six months to three years followup showed no recurrent thrombosis or other complications occarred.
:Conclusions:Comprehensive therapy with intervention procedure, open operation and thrombolysis for treatment of Cockett syndrome complicated with phlegmasia cerulea dolens is effective and safe, and with high shortterm success rate.