×
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
      November 2015
      Honolulu : Wednesday, November 25th 2015 from 05am to 07am (GMT-10)
      San Francisco : Wednesday, November 25th 2015 from 07am to 09am (GMT-8)
      New York : Wednesday, November 25th 2015 from 10am to 12pm (GMT-5)
      Buenos Aires : Wednesday, November 25th 2015 from 12pm to 02pm (GMT-3)
      London / Dublin : Wednesday, November 25th 2015 from 03pm to 05pm (GMT)
      Paris / Berlin : Wednesday, November 25th 2015 from 04pm to 06pm (GMT+1)
      Istanbul : Wednesday, November 25th 2015 from 05pm to 07pm (GMT+2)
      Moscou / Dubaï : Wednesday, November 25th 2015 from 07pm to 09pm (GMT+4)
      Bangkok : Wednesday, November 25th 2015 from 10pm to 12am (GMT+7)
      Shanghai : Wednesday, November 25th 2015 from 11pm to 01am (GMT+8)
      Tokyo : Thursday, November 26th 2015 from 12am to 02am (GMT+9)
      Sydney : Thursday, November 26th 2015 from 01am to 03am (GMT+10)
      Wellington : Thursday, November 26th 2015 from 03am to 05am (GMT+12)

      2nd live Websymposium on Venous Interventions

      Learn and debate with the experts

      Share
      December 2016
      Honolulu : Tuesday, December 13th 2016 from 01am to 02:45am (GMT-10)
      San Francisco : Tuesday, December 13th 2016 from 03am to 04:45am (GMT-8)
      New York : Tuesday, December 13th 2016 from 06am to 07:45am (GMT-5)
      Buenos Aires : Tuesday, December 13th 2016 from 08am to 09:45am (GMT-3)
      London / Dublin : Tuesday, December 13th 2016 from 11am to 12:45pm (GMT)
      Paris / Berlin : Tuesday, December 13th 2016 from 12pm to 01:45pm (GMT+1)
      Istanbul : Tuesday, December 13th 2016 from 01pm to 02:45pm (GMT+2)
      Moscou / Dubaï : Tuesday, December 13th 2016 from 03pm to 04:45pm (GMT+4)
      Bangkok : Tuesday, December 13th 2016 from 06pm to 07:45pm (GMT+7)
      Shanghai : Tuesday, December 13th 2016 from 07pm to 08:45pm (GMT+8)
      Tokyo : Tuesday, December 13th 2016 from 08pm to 09:45pm (GMT+9)
      Sydney : Tuesday, December 13th 2016 from 09pm to 10:45pm (GMT+10)
      Wellington : Tuesday, December 13th 2016 from 11pm to 12:45am (GMT+12)

      3rd live Websymposium on Venous Interventions

      Learn and debate with the experts

      Share
      Friday, October 13th 2017 from 12:30pm to 02pm (GMT+1)
      Honolulu : Friday, October 13th 2017 from 01:30am to 03am (GMT-10)
      San Francisco : Friday, October 13th 2017 from 04:30am to 06am (GMT-7)
      New York : Friday, October 13th 2017 from 07:30am to 09am (GMT-4)
      Buenos Aires : Friday, October 13th 2017 from 08:30am to 10am (GMT-3)
      Reykjavik : Friday, October 13th 2017 from 11:30am to 01pm (GMT)
      London / Dublin : Friday, October 13th 2017 from 12:30pm to 02pm (GMT+1)
      Paris / Berlin : Friday, October 13th 2017 from 01:30pm to 03pm (GMT+2)
      Istanbul : Friday, October 13th 2017 from 02:30pm to 04pm (GMT+3)
      Moscou / Dubaï : Friday, October 13th 2017 from 03:30pm to 05pm (GMT+4)
      Bangkok : Friday, October 13th 2017 from 06:30pm to 08pm (GMT+7)
      Shanghai : Friday, October 13th 2017 from 07:30pm to 09pm (GMT+8)
      Tokyo : Friday, October 13th 2017 from 08:30pm to 10pm (GMT+9)
      Sydney : Friday, October 13th 2017 from 10:30pm to 12am (GMT+11)
      Wellington : Saturday, October 14th 2017 from 12:30am to 02am (GMT+13)

      Interventional treatment of venous thrombosis

      from acute DVT to post-thrombotic lesions

      Share
      Friday, June 29th 2018 from 09:40am to 11am (GMT+1)
      Honolulu : Thursday, June 28th 2018 from 10:40pm to 12am (GMT-10)
      San Francisco : Friday, June 29th 2018 from 01:40am to 03am (GMT-7)
      New York : Friday, June 29th 2018 from 04:40am to 06am (GMT-4)
      Buenos Aires : Friday, June 29th 2018 from 05:40am to 07am (GMT-3)
      Reykjavik : Friday, June 29th 2018 from 08:40am to 10am (GMT)
      London / Dublin : Friday, June 29th 2018 from 09:40am to 11am (GMT+1)
      Paris / Berlin : Friday, June 29th 2018 from 10:40am to 12pm (GMT+2)
      Istanbul : Friday, June 29th 2018 from 11:40am to 01pm (GMT+3)
      Moscou / Dubaï : Friday, June 29th 2018 from 12:40pm to 02pm (GMT+4)
      Bangkok : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+7)
      Shanghai : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+8)
      Tokyo : Friday, June 29th 2018 from 05:40pm to 07pm (GMT+9)
      Sydney : Friday, June 29th 2018 from 07:40pm to 09pm (GMT+11)
      Wellington : Friday, June 29th 2018 from 09:40pm to 11pm (GMT+13)

      Complex Right Coronary Artery CTO Procedure: Step-by-Step antegrade dissection reentry technique

      Case of the month: September 2018 - Live Case #6 MLCTO 2018

      Share

      Left iliac venous occlusion

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

      Share
      Scroll Up