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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
Shooting date : 2016-12-12
Last update : 2021-06-09
Last update : 2021-06-09
Aspirex® S / Straub Medical
Mechanical Thrombectomy in acute venous occlusions. Finish your patient on the table and avoid lysis.
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CLIC 2019: Live Case #5
Dr Marco Manzi, Dr Steven Kum & Dr Bruno Migliara
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WEI W. don't you worry about the venous demage if you post dilate to the nominal diameter stent?
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