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Endovascular / Venous / Case in the box

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Description
Shooting date : 2016-12-12
Last update : 2021-06-09
Language(s) : English

Clinical data

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

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)

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Comments(2)
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  • WEI W.

    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.

      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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        Experts

      Stephen Black
      London, United Kingdom
      Private message  
      Rick De Graaf
      Maastricht, Netherlands
      Private message  
      Olivier Hartung
      Marseille, France
      Private message  
      Gerry O'Sullivan
      Galway, Ireland
      Private message  

        Partners

        Equipment used

      Aspirex® S, Straub Medical
      AngioJet™, Boston Scientific
      Atlas®, Bard Medical
      Venovo, Bard Medical
      VICI VENOUS STENT®, VENITI®
      Sinus Venous Stent, Optimed
      TriForce®, Cook Medical
      Visions® PV .035 Digital IVUS Catheter, Philips
      Zilver® Vena™, Cook Medical
      Nester® Embolization Coil, Cook Medical
      WALLSTENT™, Boston Scientific

        Filming locations

      May 2016
      Honolulu : Wednesday, May 25th 2016 from 04am to 05:30am (GMT-10)
      San Francisco : Wednesday, May 25th 2016 from 07am to 08:30am (GMT-7)
      New York : Wednesday, May 25th 2016 from 10am to 11:30am (GMT-4)
      Buenos Aires : Wednesday, May 25th 2016 from 11am to 12:30pm (GMT-3)
      Reykjavik : Wednesday, May 25th 2016 from 02pm to 03:30pm (GMT)
      London / Dublin : Wednesday, May 25th 2016 from 03pm to 04:30pm (GMT+1)
      Paris / Berlin : Wednesday, May 25th 2016 from 04pm to 05:30pm (GMT+2)
      Istanbul : Wednesday, May 25th 2016 from 05pm to 06:30pm (GMT+3)
      Moscou / Dubaï : Wednesday, May 25th 2016 from 06pm to 07:30pm (GMT+4)
      Bangkok : Wednesday, May 25th 2016 from 09pm to 10:30pm (GMT+7)
      Shanghai : Wednesday, May 25th 2016 from 10pm to 11:30pm (GMT+8)
      Tokyo : Wednesday, May 25th 2016 from 11pm to 12:30am (GMT+9)
      Sydney : Thursday, May 26th 2016 from 01am to 02:30am (GMT+11)
      Wellington : Thursday, May 26th 2016 from 03am to 04:30am (GMT+13)

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      November 2015
      Honolulu : Wednesday, November 25th 2015 from 04am to 06am (GMT-10)
      San Francisco : Wednesday, November 25th 2015 from 06am to 08am (GMT-8)
      New York : Wednesday, November 25th 2015 from 09am to 11am (GMT-5)
      Buenos Aires : Wednesday, November 25th 2015 from 11am to 01pm (GMT-3)
      London / Dublin : Wednesday, November 25th 2015 from 02pm to 04pm (GMT)
      Paris / Berlin : Wednesday, November 25th 2015 from 03pm to 05pm (GMT+1)
      Istanbul : Wednesday, November 25th 2015 from 04pm to 06pm (GMT+2)
      Moscou / Dubaï : Wednesday, November 25th 2015 from 06pm to 08pm (GMT+4)
      Bangkok : Wednesday, November 25th 2015 from 09pm to 11pm (GMT+7)
      Shanghai : Wednesday, November 25th 2015 from 10pm to 12am (GMT+8)
      Tokyo : Wednesday, November 25th 2015 from 11pm to 01am (GMT+9)
      Sydney : Thursday, November 26th 2015 from 12am to 02am (GMT+10)
      Wellington : Thursday, November 26th 2015 from 02am to 04am (GMT+12)

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      Wednesday, February 12th 2020 | 12pm to 01:30pm (EST) - 06pm to 07:30pm (GMT+1)
      Honolulu : Wednesday, February 12th 2020 from 06am to 07:30am (GMT-10)
      San Francisco : Wednesday, February 12th 2020 from 08am to 09:30am (GMT-8)
      New York : Wednesday, February 12th 2020 from 11am to 12:30pm (GMT-5)
      Buenos Aires : Wednesday, February 12th 2020 from 01pm to 02:30pm (GMT-3)
      London / Dublin : Wednesday, February 12th 2020 from 04pm to 05:30pm (GMT)
      Paris / Berlin : Wednesday, February 12th 2020 from 05pm to 06:30pm (GMT+1)
      Istanbul : Wednesday, February 12th 2020 from 06pm to 07:30pm (GMT+2)
      Moscou / Dubaï : Wednesday, February 12th 2020 from 08pm to 09:30pm (GMT+4)
      Bangkok : Wednesday, February 12th 2020 from 11pm to 12:30am (GMT+7)
      Shanghai : Thursday, February 13th 2020 from 12am to 01:30am (GMT+8)
      Tokyo : Thursday, February 13th 2020 from 01am to 02:30am (GMT+9)
      Sydney : Thursday, February 13th 2020 from 02am to 03:30am (GMT+10)
      Wellington : Thursday, February 13th 2020 from 04am to 05:30am (GMT+12)

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      October 2014
      Honolulu : Tuesday, October 28th 2014 from 04am to 06am (GMT-10)
      San Francisco : Tuesday, October 28th 2014 from 06am to 08am (GMT-8)
      New York : Tuesday, October 28th 2014 from 09am to 11am (GMT-5)
      Buenos Aires : Tuesday, October 28th 2014 from 11am to 01pm (GMT-3)
      London / Dublin : Tuesday, October 28th 2014 from 02pm to 04pm (GMT)
      Paris / Berlin : Tuesday, October 28th 2014 from 03pm to 05pm (GMT+1)
      Istanbul : Tuesday, October 28th 2014 from 04pm to 06pm (GMT+2)
      Moscou / Dubaï : Tuesday, October 28th 2014 from 06pm to 08pm (GMT+4)
      Bangkok : Tuesday, October 28th 2014 from 09pm to 11pm (GMT+7)
      Shanghai : Tuesday, October 28th 2014 from 10pm to 12am (GMT+8)
      Tokyo : Tuesday, October 28th 2014 from 11pm to 01am (GMT+9)
      Sydney : Wednesday, October 29th 2014 from 12am to 02am (GMT+10)
      Wellington : Wednesday, October 29th 2014 from 02am to 04am (GMT+12)

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      Wednesday, November 23rd 2011 from 04:45pm to 06:52pm (GMT+2)
      Honolulu : Wednesday, November 23rd 2011 from 04:45am to 06:52am (GMT-10)
      San Francisco : Wednesday, November 23rd 2011 from 06:45am to 08:52am (GMT-8)
      New York : Wednesday, November 23rd 2011 from 09:45am to 11:52am (GMT-5)
      Buenos Aires : Wednesday, November 23rd 2011 from 11:45am to 01:52pm (GMT-3)
      London / Dublin : Wednesday, November 23rd 2011 from 02:45pm to 04:52pm (GMT)
      Paris / Berlin : Wednesday, November 23rd 2011 from 03:45pm to 05:52pm (GMT+1)
      Istanbul : Wednesday, November 23rd 2011 from 04:45pm to 06:52pm (GMT+2)
      Moscou / Dubaï : Wednesday, November 23rd 2011 from 06:45pm to 08:52pm (GMT+4)
      Bangkok : Wednesday, November 23rd 2011 from 09:45pm to 11:52pm (GMT+7)
      Shanghai : Wednesday, November 23rd 2011 from 10:45pm to 12:52am (GMT+8)
      Tokyo : Wednesday, November 23rd 2011 from 11:45pm to 01:52am (GMT+9)
      Sydney : Thursday, November 24th 2011 from 12:45am to 02:52am (GMT+10)
      Wellington : Thursday, November 24th 2011 from 02:45am to 04:52am (GMT+12)

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      May 2012
      Honolulu : Thursday, May 24th 2012 from 04:59am to 07:13am (GMT-10)
      San Francisco : Thursday, May 24th 2012 from 07:59am to 10:13am (GMT-7)
      New York : Thursday, May 24th 2012 from 10:59am to 01:13pm (GMT-4)
      Buenos Aires : Thursday, May 24th 2012 from 11:59am to 02:13pm (GMT-3)
      Reykjavik : Thursday, May 24th 2012 from 02:59pm to 05:13pm (GMT)
      London / Dublin : Thursday, May 24th 2012 from 03:59pm to 06:13pm (GMT+1)
      Paris / Berlin : Thursday, May 24th 2012 from 04:59pm to 07:13pm (GMT+2)
      Istanbul : Thursday, May 24th 2012 from 05:59pm to 08:13pm (GMT+3)
      Moscou / Dubaï : Thursday, May 24th 2012 from 06:59pm to 09:13pm (GMT+4)
      Bangkok : Thursday, May 24th 2012 from 09:59pm to 12:13am (GMT+7)
      Shanghai : Thursday, May 24th 2012 from 10:59pm to 01:13am (GMT+8)
      Tokyo : Thursday, May 24th 2012 from 11:59pm to 02:13am (GMT+9)
      Sydney : Friday, May 25th 2012 from 01:59am to 04:13am (GMT+11)
      Wellington : Friday, May 25th 2012 from 03:59am to 06:13am (GMT+13)

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