×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
My Player placeholder

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


31456 views

This 30 minutes interactive procedure concerns a 68 years old male presenting bilateral venous ulcers. He has a long  history of venous insufficiency with varicose veins surgery 44 years ago and bilateral Deep Vein Thrombosis 11 years ago.

He presents actually  bilateral iliac veins occlusion.

Learning points

  • Are chronic venous ulcers curable?
  • How to approach bilateral vein occlusions.
  • How to proceed to recanalize occluded iliac veins.
  • How and where to stent residual vein stenosis.
  • IVUS guided procedure to optimize evaluation and  stent deployment.
  • How to perform bilateral ilio-femoral veins stenting in the same session.

Step-by-Step Procedure

  • Double right internal jugular vein  access  with two 10Fx23cm  introducers.
  • Crossing the Right and Left femoral veins occlusions using Hydrophilic wires and Triforce support catheter.
  • IVUS run for landing zone assessment and sizing.
  • Multilevel predilatation of the right and left systems.
  • Simultaneous Kissing Stenting of the left and the right common iliac veins toward inferior vena cava respecting renal veins origin.
  • Optimizing stent deployment and kissing balloon.
  • Stenting of the  left  common femoral  and external iliac veins with Venovo self-expanding stent and balloon optimizing.
  • Stenting of the right  common femoral  and  iliac veins  with overlapping : Venovo and Vici self-expanding stents.
  • Stenting of the left common iliac vein with overlapping stent.
  • Bilateral IVUS control.
  • Final angiographic result.

Biobliography

 

 
Shooting date : 2016-12-12
Last update : 2021-05-11
Stephen Black
London, United Kingdom
Rick De Graaf
Maastricht, Netherlands

Our Cases of the Month

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share
2 comments
Join the Discussion
  • ibrahim A. thanks for this nice symposium

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • marie C. thank you for this nice and difficult case

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      Suggestions

      Discover your Monthly Case
      Honolulu : Sunday, September 17th 2023 from 10:07pm to 10:07pm (GMT-10)
      San Francisco : Monday, September 18th 2023 from 01:07am to 01:07am (GMT-7)
      New York : Monday, September 18th 2023 from 04:07am to 04:07am (GMT-4)
      Buenos Aires : Monday, September 18th 2023 from 05:07am to 05:07am (GMT-3)
      Reykjavik : Monday, September 18th 2023 from 08:07am to 08:07am (GMT)
      London / Dublin : Monday, September 18th 2023 from 09:07am to 09:07am (GMT+1)
      Paris / Berlin : Monday, September 18th 2023 from 10:07am to 10:07am (GMT+2)
      Istanbul : Monday, September 18th 2023 from 11:07am to 11:07am (GMT+3)
      Moscou / Dubaï : Monday, September 18th 2023 from 12:07pm to 12:07pm (GMT+4)
      Bangkok : Monday, September 18th 2023 from 03:07pm to 03:07pm (GMT+7)
      Shanghai : Monday, September 18th 2023 from 04:07pm to 04:07pm (GMT+8)
      Tokyo : Monday, September 18th 2023 from 05:07pm to 05:07pm (GMT+9)
      Sydney : Monday, September 18th 2023 from 07:07pm to 07:07pm (GMT+11)
      Wellington : Monday, September 18th 2023 from 09:07pm to 09:07pm (GMT+13)

      Complex multivascular patient with occluded brachiocephalic trunk

      Case of the month: September 2023

      Share

      Left iliac venous occlusion

      Dr Black, Dr De Graaf, Dr Hartung & Dr O'Sullivan

      Share
      Scroll Up