Objective:To investigate the effect of the combination of interventional and surgical treatment for patients with Cockett syndrome complicated with phlegmasia cerulea dolens (PCD).
Methods:The clinical records of 5 patients with Cockett syndrome complicated with PCD undergoing the combined treatment from 2005 to 2010 were retrospectively analyzed.
Results:Five patients manifested classical PCD with absence of pulsation of dorsalis pedis and posterior tibial arteries. The diagnosis of Cockett syndrome was confirmed by preoperative Doppler and intraoperative DSA, which showed no blood flow in the deep veins of the left lower extremity, and showed compression and stricture of the left iliac vein. All cases underwent inferior vena cava filter placement, left femoral vein incision and embolectomy, and balloon dilatation of the left iliac vein were performed; among them one received stent implantation. After operation, all cases were given anticoagulant and thrombolytic therapy. All patients recovered well, their dorsalis pedis artery pulsations were restored and lower limb swellings disappeared. Follow up (3 months to 5 years) showed no recurrent thrombosis or other complications occurred.
Conclusions:The combined interventional and surgical  treatment of Cockett syndrome complicated with PCD is effective, and has good therapeutic results.