Video : Left iliac venous occlusion

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Endovascular / Venous / Case in the box

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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

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

2020-03-28, 15h05
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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

2020-03-30, 2h31
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Left iliac venous occlusion

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

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Stephen Black

Rick De Graaf

Olivier Hartung

Gerry O'Sullivan

Aspirex® S / Straub Medical

AngioJet™ / Boston Scientific

Atlas® / Bard Medical

Venovo™ / Bard Medical

VICI VENOUS STENT® / VENITI®

sinus-Venous / Optimed

TriForce® / Cook Medical

Visions® PV .035 / Philips

Zilver® Vena™ / Cook Medical

Nester® / Cook Medical

WALLSTENT™ / Boston Scientific

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Suggestions

Left iliac venous occlusion

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

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