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15225 views

Program

Hours indicated are CET.

12:25 Introduction & learning objectives
12:30
Dr Denis Henroteaux & Dr Romaric Loffroy
 
Angiography
Before procedure:
13:00
Dr Houman Jalaie & Dr Romaric Loffroy
 
Angiography
Before procedure:
13:30
Dr Romaric Loffroy & Dr Houman Jalaie

 

Audience

Vascular specialists interested in management of venous diseases & embolization treatment

Shooting date : 2020-09-08
Last update : 2021-06-23
8 comments
Join the Discussion
  • Ali F. Hello everyone
    If we have a patient with congestive pelvic syndrome (Symptomatic,lower abdominal heaviness at afternoon, dysparonia,...)
    MRV shows nutcracker radiologic finding (asymptomatic, no flank pain no hematuria)
    And shows also significant reflux in the left ovarian vein with hudge intrapelvic varicosiries
    How do you manage this patient
    Do u treat nutcracker or not,first?
    Do u treat left ovarian vein only?

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    • Mehmet M. I eill prefer to treat only left ovarian vein by coil embolization.
      Nutcracker treatment is more complicated and usually not necessary

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    • Guillermo M. Patient with symptomatic Nutcracker. Severe stenosis of left renal vein. Reflux on left gonadal vein wich is enlarged (9 mm). After embolization of LGV the patient suffers a worsening of her symptoms. What would you make, open surgery or stenting

      • maria R. Hola, los síntomas empeoran en muchos casos tras la embolizacion por la trombosis del plexo, mejoran en semanas con antiinflamatorios

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    • Mangesh T. Dear Dr.Houmann Sir, Again great presentation on Embolisation in PCS And Deep Venous Stenting; But do you follow the newer “SVP Classification” for Pelvic Venous disorders and plan your Endovascular IR treatment accordingly??

      Which will you address first “Venous Reflux or Obstruction” to normalise increased Pelvic Venous Pressure and how much is your overall Technical Success rates??

      • Houman J. Dear Mangesh,

        I would normally go first for the obstruction and then treat the reflux.

        Best

        Houman

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    Interventional treatment of venous thrombosis

    from acute DVT to post-thrombotic lesions

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