{"pk":580,"title":"Pacemaker-associated Phlegmasia Cerulea Dolens Treated with Catheter-directed Thrombolysis","subtitle":null,"abstract":"Phlegmasia cerulea dolens (PCD) is a rare and severe form of deep venous thrombosis that is classically associated with the lower extremities. We report a case of upper extremity PCD developing abruptly in a 37-year-old female with an indwelling cardiac pacemaker who presented to the emergency department complaining of pain and paresthesias in her left arm, adjoining left chest wall, and inferior neck. Her condition was promptly diagnosed and successfully treated with intravenous unfractionated heparin and balloon venoplasty with catheter-directed thrombolysis without any known residual signs or symptoms at hospital discharge.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3mk277p8","frozenauthors":[{"first_name":"Benjamin","middle_name":"A.","last_name":"Mazer","name_suffix":"","institution":"Charles E. Schmidt College of Medicine, Florida Atlantic University, Department of Emergency Medicine, Boca Raton, Florida","department":"None"},{"first_name":"Patrick","middle_name":"G.","last_name":"Hughes","name_suffix":"","institution":"Charles E. Schmidt College of Medicine, Florida Atlantic University, Department of Emergency Medicine, Boca Raton, Florida","department":"None"}],"date_submitted":"2018-08-13T11:17:57-07:00","date_accepted":"2018-08-13T11:17:57-07:00","date_published":"2018-09-05T14:51:43-07:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/580/galley/341/download/"}]}