×
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


16670 views

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
Stephen Black
London, United Kingdom
Rick De Graaf
Maastricht, Netherlands
2 comments
Join the Discussion
  • WEI W. don't you worry about the venous demage if you post dilate to the nominal diameter stent?

      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.


    • 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

        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

      June 2016
      Honolulu : Tuesday, June 14th 2016 from 02am to 03:30am (GMT-10)
      San Francisco : Tuesday, June 14th 2016 from 05am to 06:30am (GMT-7)
      New York : Tuesday, June 14th 2016 from 08am to 09:30am (GMT-4)
      Buenos Aires : Tuesday, June 14th 2016 from 09am to 10:30am (GMT-3)
      Reykjavik : Tuesday, June 14th 2016 from 12pm to 01:30pm (GMT)
      London / Dublin : Tuesday, June 14th 2016 from 01pm to 02:30pm (GMT+1)
      Paris / Berlin : Tuesday, June 14th 2016 from 02pm to 03:30pm (GMT+2)
      Istanbul : Tuesday, June 14th 2016 from 03pm to 04:30pm (GMT+3)
      Moscou / Dubaï : Tuesday, June 14th 2016 from 04pm to 05:30pm (GMT+4)
      Bangkok : Tuesday, June 14th 2016 from 07pm to 08:30pm (GMT+7)
      Shanghai : Tuesday, June 14th 2016 from 08pm to 09:30pm (GMT+8)
      Tokyo : Tuesday, June 14th 2016 from 09pm to 10:30pm (GMT+9)
      Sydney : Tuesday, June 14th 2016 from 11pm to 12:30am (GMT+11)
      Wellington : Wednesday, June 15th 2016 from 01am to 02:30am (GMT+13)

      Can new Endovascular Tools change CFA Treatment?

      Educational live debate

      Share
      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)

      2nd live Websymposium on Venous Interventions

      Learn and debate with the experts

      Share
      May 2012
      Honolulu : Wednesday, May 9th 2012 from 04am to 06:20am (GMT-10)
      San Francisco : Wednesday, May 9th 2012 from 07am to 09:20am (GMT-7)
      New York : Wednesday, May 9th 2012 from 10am to 12:20pm (GMT-4)
      Buenos Aires : Wednesday, May 9th 2012 from 11am to 01:20pm (GMT-3)
      Reykjavik : Wednesday, May 9th 2012 from 02pm to 04:20pm (GMT)
      London / Dublin : Wednesday, May 9th 2012 from 03pm to 05:20pm (GMT+1)
      Paris / Berlin : Wednesday, May 9th 2012 from 04pm to 06:20pm (GMT+2)
      Istanbul : Wednesday, May 9th 2012 from 05pm to 07:20pm (GMT+3)
      Moscou / Dubaï : Wednesday, May 9th 2012 from 06pm to 08:20pm (GMT+4)
      Bangkok : Wednesday, May 9th 2012 from 09pm to 11:20pm (GMT+7)
      Shanghai : Wednesday, May 9th 2012 from 10pm to 12:20am (GMT+8)
      Tokyo : Wednesday, May 9th 2012 from 11pm to 01:20am (GMT+9)
      Sydney : Thursday, May 10th 2012 from 01am to 03:20am (GMT+11)
      Wellington : Thursday, May 10th 2012 from 03am to 05:20am (GMT+13)

      Abbott Vascular Knowledge Center Education Program: CLI complex case management Live cases

      from Abano Terme with Dr. Marco Manzi -

      Share
      Wednesday, June 24th 2020 from 06pm to 07:30pm (GMT+2)
      Honolulu : Wednesday, June 24th 2020 from 06am to 07:30am (GMT-10)
      San Francisco : Wednesday, June 24th 2020 from 09am to 10:30am (GMT-7)
      New York : Wednesday, June 24th 2020 from 12pm to 01:30pm (GMT-4)
      Buenos Aires : Wednesday, June 24th 2020 from 01pm to 02:30pm (GMT-3)
      Reykjavik : Wednesday, June 24th 2020 from 04pm to 05:30pm (GMT)
      London / Dublin : Wednesday, June 24th 2020 from 05pm to 06:30pm (GMT+1)
      Paris / Berlin : Wednesday, June 24th 2020 from 06pm to 07:30pm (GMT+2)
      Istanbul : Wednesday, June 24th 2020 from 07pm to 08:30pm (GMT+3)
      Moscou / Dubaï : Wednesday, June 24th 2020 from 08pm to 09:30pm (GMT+4)
      Bangkok : Wednesday, June 24th 2020 from 11pm to 12:30am (GMT+7)
      Shanghai : Thursday, June 25th 2020 from 12am to 01:30am (GMT+8)
      Tokyo : Thursday, June 25th 2020 from 01am to 02:30am (GMT+9)
      Sydney : Thursday, June 25th 2020 from 03am to 04:30am (GMT+11)
      Wellington : Thursday, June 25th 2020 from 05am to 06:30am (GMT+13)

      CTO crossing and their challenges

      Share
      Scroll Up