×
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


16745 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

      Wednesday, October 23rd 2024 from 12pm to 12:30pm (GMT+2)
      Honolulu : Wednesday, October 23rd 2024 from 12am to 12:30am (GMT+2)
      San Francisco : Wednesday, October 23rd 2024 from 03am to 03:30am (GMT+2)
      New York : Wednesday, October 23rd 2024 from 06am to 06:30am (GMT+2)
      Buenos Aires : Wednesday, October 23rd 2024 from 07am to 07:30am (GMT+2)
      Reykjavik : Wednesday, October 23rd 2024 from 10am to 10:30am (GMT+2)
      London / Dublin : Wednesday, October 23rd 2024 from 11am to 11:30am (GMT+2)
      Paris / Berlin : Wednesday, October 23rd 2024 from 12pm to 12:30pm (GMT+2)
      Istanbul : Wednesday, October 23rd 2024 from 01pm to 01:30pm (GMT+2)
      Moscou / Dubaï : Wednesday, October 23rd 2024 from 02pm to 02:30pm (GMT+2)
      Bangkok : Wednesday, October 23rd 2024 from 05pm to 05:30pm (GMT+2)
      Shanghai : Wednesday, October 23rd 2024 from 06pm to 06:30pm (GMT+2)
      Tokyo : Wednesday, October 23rd 2024 from 07pm to 07:30pm (GMT+2)
      Sydney : Wednesday, October 23rd 2024 from 09pm to 09:30pm (GMT+2)
      Wellington : Wednesday, October 23rd 2024 from 11pm to 11:30pm (GMT+2)

      The Complex Made Simple: A Novel All-in-One Solution for Infrainguinal CTO

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

      DCB or DES: I want choice (Live session)

      Updated algorithm for your daily practice

      Share
      August 2013
      Honolulu : Tuesday, August 27th 2013 from 04am to 06am (GMT+2)
      San Francisco : Tuesday, August 27th 2013 from 07am to 09am (GMT+2)
      New York : Tuesday, August 27th 2013 from 10am to 12pm (GMT+2)
      Buenos Aires : Tuesday, August 27th 2013 from 11am to 01pm (GMT+2)
      Reykjavik : Tuesday, August 27th 2013 from 02pm to 04pm (GMT+2)
      London / Dublin : Tuesday, August 27th 2013 from 03pm to 05pm (GMT+2)
      Paris / Berlin : Tuesday, August 27th 2013 from 04pm to 06pm (GMT+2)
      Istanbul : Tuesday, August 27th 2013 from 05pm to 07pm (GMT+2)
      Moscou / Dubaï : Tuesday, August 27th 2013 from 06pm to 08pm (GMT+2)
      Bangkok : Tuesday, August 27th 2013 from 09pm to 11pm (GMT+2)
      Shanghai : Tuesday, August 27th 2013 from 10pm to 12am (GMT+2)
      Tokyo : Tuesday, August 27th 2013 from 11pm to 01am (GMT+2)
      Sydney : Wednesday, August 28th 2013 from 01am to 03am (GMT+2)
      Wellington : Wednesday, August 28th 2013 from 03am to 05am (GMT+2)

      Leipzig in Avignon: Update in femoro-popliteal recanalization

      Live from Clinique Rhône-Durance, Avignon, France

      Share

      CLIC 2019: Live Case #1

      Dr Shannon D. Thomas, Dr Elena Herrero & Dr Luis Mariano Palena

      Share

      CLIC 2019: Live Case #6

      Dr Steven Kum, Dr Marco Manzi & Dr Bruno Migliara

      Share
      Scroll Up