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  • khalid . He put a new stent in side the old one, what is the expected long term results

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    • Mangesh T. Sir, Is this a Straub Rotarex (Swiss) Thrombectomy Device ? What is the size & length of 2nd Venous Stent? I think 1st Stent Occluded due to less than 90 mm length or anything else.

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      • Sandeep S. is nutcracker syndrome associated with thin asthenic built?

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        • Efrem G. Nice result! Congratulations!
          Which size of balloon and stent have been used?
          Thanks!

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        • Mohamed M. Nice work.. disappearance of collateral is the most satisfying image we could imagine

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          • Charlotte T. Did you also treat the Nutcracker (left renal vein compression) or just the May Thurner (IVC)?

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            • WEI W. don't you worry about the venous demage if you post dilate to the nominal diameter stent?

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              • Olivier H. It must be done this way if you use the good stent 16-18 mm for CIV, 14-16 mm for EIV and CFV

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                See previous comments (3)
                • Sharif Khashaba K. kindly improve the voice

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                  • Vanessa R. How do you treat venous non thrombotic in stent restenosis

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                    • Gustavo R. In chronic oclusion how often did you see instent stenosis in Iliocaval Wallstent

                      • Olivier H. in our experience on 162 patients with a median follow-up of 44 months, primary patency is 70% at 60 months and assisted primary patency 85%

                      • Peter N. Using the Wallstent, the cumulative in-stent stenosis rate at 6 years is in non-thrombotic obstructions (NIVL) 1% and in postthrombotic obstructions approximately 10%. In-stent stenosis is then defined as being >50% lumen reduction. It is common to see some in-stent layering of

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                    • Jacobo N. What do you think is the best aproach to the lesion, popliteal or contralateral? Thanks

                      • Olivier H. for chronic lesion, i prefer anterograde approach through the femoral or popliteal. Some teams favor internal jugular approach (must always be ready in case of IVC lesions)
                        for acute lesions, it depends on the patency of the popliteal vein. If occluded, jugular or controlateral acess

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                    • Maria Fabrizia G. do you use the same strategy in presence of PE?

                      • Olivier H. PE does not change the strategy but can make discuss the use of an IVC filter

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                    • bander A. what is he indications in case of non thrombotic iliac vein lesion ?

                      • Olivier H. symptomatic and disabled patients C2-6, pelvic congestion syndrome

                      • Peter N. I agree with Olivier, but wants to qualify it slightly. As we pointed out in the discussion, compression of the iliac veins are common in the asymptomatic population and possibly up to 30% have >50% stenosis with no symptoms! So there is a potential risk of overtreatment. In chronic venous disease of the lower limb, treatment of the outflow obstruction is indicated in patients with the C-class in CEAP being marked swelling (C3) and those with skin changes/ulcers (C4-C6). In addition, you have those patients with venous pain without skin changes or varicose veins, which can not be solely explained by the presence of reflux, if any. We use visual analogue scale (VAS) to evaluate that, considering VAS >5 being significant. As Olivier pointed out the symptoms have to affect the patients' quality of life.

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                    • Sandeep S. When using three stents, why is the middle stent placed last in iliofemoral venous intervention?

                      Is there any algorithim to decide on when and not to stent across deep femoral vein?

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                      • Mohamed M. NICE CASE. THANKS FOR SHARING. I WANT TO KNOW WHEN TO DO AVF WITH ILIAC ANGIOPLASTY FOR PTS??

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                        • Mohamed M. DID YOU MAKE AVF AFTER ILIAC ANGIOPLASTY? AND WHY?

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                          • Mohamed M. Very nice case

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                            • Mohamed M. When to treat NCS?? Pressure gradient of more than 4?

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                              • ibrahim A. thanks for this nice symposium

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

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                                  • PABLO M. beautiful case

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                                    • narayana reddy B. Great job

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                                      • Mangesh T. Very well done case!

                                        But for "High grade Infra hepati IVC Stenosis" have you measured 'Pressure gradient? How much drop in pressure gradient in Post stenting situation??

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                                        • marcus P. Very Good work!

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                                          • marcus P. good work!
                                            What's the stent ?

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                                            • venkatesa reddy D. very good talk

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                                              See previous comments (8)
                                              • Adriaan M. Excellent initiative for the endovascular venous community ! Adriaan Moelker Rotterdam The Netherlands

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                                                • Paul V. How late does it start?

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                                                  • Vidjak V. Why You did not use VFC prior dilatation in first case? dr Slavica KB Merkur, Zagreb

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                                                    • Joelle H. can you confirm stent brand and size please

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                                                      • Vidjak V. Why did not use trans popliteal bilateral approach with TJ filter placment dr. Slavica UH Merkur, Zagreb

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                                                        • Vidjak V. Why did not use trans popliteal bilateral approach with TJ filter placment dr. Slavica UH Merkur, Zagreb

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                                                          • Sheila S. As the PTS incidence is so high why is thrombolysis not used for all.

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                                                            • Joelle H. is the groin flexion region an issue ?

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                                                              • Mangesh T. Does you use 24x75 mm Wallstent for IVC Stenting? Are you first stenting IVC then Ilio-femoral veins with Protege Everflex Balloon expandable stents? -Dr.Mangesh Tarte, MD,FVIR,PGDMLS Ahmednagar ,India www.antarangcentre.org

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                                                                • Guillaume L. Thank you very much for your participation. You can contact privately each expert by private message through incathlab. The Incathlab Team

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                                                                  • Alison W. Thanks. That was really informative.

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                                                                    • Guirgis H. Great cases

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                                                                      • Mangesh T. I congratulate to Dr.Nil Kucher-Bern Univ and Dr.Rick de graaf-MUMC for doing wonderful & rewarding Bilateral iliac & Vena cava stenting in one seating only. If bilatetal Popliteal veins are chronically occluded and inaccessible in this "Seminoma mass compressing IVC -Iliacs- 1. what would be your best approach to enter vena cavacava?? 2.Can we deploy IVC Stent in Trans-jugular way in Antegrade fashion. What are difficulties faced off?? 3. If we donot use kissing balloon & stent technique; what is other best method to stent bi-common iliacs?? 4.Can we extend & deploy stent across Sapheno-femoral junction and just above cinfluence of Profunda femoris & SFVSFV; upto lesser trochanter?? -Dr.Mangesh Tarte, MD,FVIR,MACPh Ahmednagar,India-414001 Email-drmpt.vir@gmail.com web:www.antarangcentre.org

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