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Description
Shooting date : 2016-12-12
Last update : 2018-06-26
Language(s) : English

Clinical data

  • 61 year old man
  • Left IF DVT 2015
  • Swollen leg since
  • Reent development obvious PTS LLE
  • Ven...

Clinical data

  • 61 year old man
  • Left IF DVT 2015
  • Swollen leg since
  • Reent development obvious PTS LLE
  • Venous Claudication
  • No ulceration or swelling

1st Plan

  • R IJV access 10F 23cm Cordis Brite tip
  • Access L groins CFV/PFV/FV- 5F sheath
  • 5000 u IV Heparin
  • Venography- AP and Lateral
  • Cross from above or below with Cook Tri-Force
  • Glide wires (Terumo) or Roadrunner (Cook)

2nd Plan

  • One “across” use 260 Lunderquist wires through and through
  • CRITICAL TO DETERMINE INFLOW
  • IVUS essential
  • Pre dilate to
    • 16mm CIV
    • 14mm EIV/CFV

3rd Plan

  • Stents: 16mm CIV 14mm EIV CFV
  • Post dilate to nominal diameter stent
  • IVUS to confirm adequate stent expansion
  • Cone Beam CTV

Post operation

  • Calss 2 thigh high compression stockings x 6/52
  • Pneumatic compression boots x 24h
  • Maintain full anticoagulation
  • Colour Doppler US day to confirm stent patency
Linked playlists (3)
Comments(2)
Join the Discussion
  • 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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      Thursday, September 13th 2012 from 05pm to 07pm (GMT+2)
      Honolulu : Thursday, September 13th 2012 from 05am to 07am (GMT-10)
      San Francisco : Thursday, September 13th 2012 from 08am to 10am (GMT-7)
      New York : Thursday, September 13th 2012 from 11am to 01pm (GMT-4)
      Buenos Aires : Thursday, September 13th 2012 from 12pm to 02pm (GMT-3)
      Reykjavik : Thursday, September 13th 2012 from 03pm to 05pm (GMT)
      London / Dublin : Thursday, September 13th 2012 from 04pm to 06pm (GMT+1)
      Paris / Berlin : Thursday, September 13th 2012 from 05pm to 07pm (GMT+2)
      Istanbul : Thursday, September 13th 2012 from 06pm to 08pm (GMT+3)
      Moscou / Dubaï : Thursday, September 13th 2012 from 07pm to 09pm (GMT+4)
      Bangkok : Thursday, September 13th 2012 from 10pm to 12am (GMT+7)
      Shanghai : Thursday, September 13th 2012 from 11pm to 01am (GMT+8)
      Tokyo : Friday, September 14th 2012 from 12am to 02am (GMT+9)
      Sydney : Friday, September 14th 2012 from 02am to 04am (GMT+11)
      Wellington : Friday, September 14th 2012 from 04am to 06am (GMT+13)

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

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      December 2016
      Honolulu : Tuesday, December 13th 2016 from 12am to 01:45am (GMT-10)
      San Francisco : Tuesday, December 13th 2016 from 02am to 03:45am (GMT-8)
      New York : Tuesday, December 13th 2016 from 05am to 06:45am (GMT-5)
      Buenos Aires : Tuesday, December 13th 2016 from 07am to 08:45am (GMT-3)
      London / Dublin : Tuesday, December 13th 2016 from 10am to 11:45am (GMT)
      Paris / Berlin : Tuesday, December 13th 2016 from 11am to 12:45pm (GMT+1)
      Istanbul : Tuesday, December 13th 2016 from 12pm to 01:45pm (GMT+2)
      Moscou / Dubaï : Tuesday, December 13th 2016 from 02pm to 03:45pm (GMT+4)
      Bangkok : Tuesday, December 13th 2016 from 05pm to 06:45pm (GMT+7)
      Shanghai : Tuesday, December 13th 2016 from 06pm to 07:45pm (GMT+8)
      Tokyo : Tuesday, December 13th 2016 from 07pm to 08:45pm (GMT+9)
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      Honolulu : Friday, October 13th 2017 from 12:30am to 02am (GMT-10)
      San Francisco : Friday, October 13th 2017 from 03:30am to 05am (GMT-7)
      New York : Friday, October 13th 2017 from 06:30am to 08am (GMT-4)
      Buenos Aires : Friday, October 13th 2017 from 07:30am to 09am (GMT-3)
      Reykjavik : Friday, October 13th 2017 from 10:30am to 12pm (GMT)
      London / Dublin : Friday, October 13th 2017 from 11:30am to 01pm (GMT+1)
      Paris / Berlin : Friday, October 13th 2017 from 12:30pm to 02pm (GMT+2)
      Istanbul : Friday, October 13th 2017 from 01:30pm to 03pm (GMT+3)
      Moscou / Dubaï : Friday, October 13th 2017 from 02:30pm to 04pm (GMT+4)
      Bangkok : Friday, October 13th 2017 from 05:30pm to 07pm (GMT+7)
      Shanghai : Friday, October 13th 2017 from 06:30pm to 08pm (GMT+8)
      Tokyo : Friday, October 13th 2017 from 07:30pm to 09pm (GMT+9)
      Sydney : Friday, October 13th 2017 from 09:30pm to 11pm (GMT+11)
      Wellington : Friday, October 13th 2017 from 11:30pm to 01am (GMT+13)

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

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      Honolulu : Friday, March 24th 2017 from 12:30am to 01:30am (GMT-10)
      San Francisco : Friday, March 24th 2017 from 02:30am to 03:30am (GMT-8)
      New York : Friday, March 24th 2017 from 05:30am to 06:30am (GMT-5)
      Buenos Aires : Friday, March 24th 2017 from 07:30am to 08:30am (GMT-3)
      London / Dublin : Friday, March 24th 2017 from 10:30am to 11:30am (GMT)
      Paris / Berlin : Friday, March 24th 2017 from 11:30am to 12:30pm (GMT+1)
      Istanbul : Friday, March 24th 2017 from 12:30pm to 01:30pm (GMT+2)
      Moscou / Dubaï : Friday, March 24th 2017 from 02:30pm to 03:30pm (GMT+4)
      Bangkok : Friday, March 24th 2017 from 05:30pm to 06:30pm (GMT+7)
      Shanghai : Friday, March 24th 2017 from 06:30pm to 07:30pm (GMT+8)
      Tokyo : Friday, March 24th 2017 from 07:30pm to 08:30pm (GMT+9)
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