St Thomas Hospital - London (June 2018)

Abdulsalam A. Bad, Bad, Bad

Rajesh K. do you regularly land the proximal end of the stent into IVC or try to land it at the confluence? If the external compression is at the confluence then would you be convinced to extend into IVC?

Mangesh T. 1. What was the "Hematological cause" for recurrent bilateral lower limb ilio-femoral DVT? What kind of Hypercoaguble state of the blood causing thrombosis?

2. Where is the Venous access & entry side (Mid-SFV in thigh) or CFV in groin?

3. How to fix up 10Fr large bore sheath in Chronically occluded femoral vein?

4.Venous inflow from Profunda femoris (Deep femoral) is Sufficient even if Common femoral is badly damaged?

5. Incase of "Infra-inguinal ligament" Venous stent extension and keeping it above lesser trochanter bony landmark for SFV-DFV Confluence zone; how much long term patency of 2 stents expected with post Stenting good oral Anticoagulation and Anti-Platelets??

Sameh S. highly educative

K R. Why did we deploy stent in pop ata and tpt. There is no flow limiting dissection or >30% residual lesion in pop and tibial vessels after plasty. You could have left it there. Leaving even non flow limiting dissection is acceptable in tibials. The idea behing doing BTK is just to heal the foot lesion which could be achieved with plasty alone as you did
Deploying stent actually adds time, contrast and radiation exposure , cost on procedure. Does not any therapeutic benefit. And one more thing no need for DCB plasty for tibials.

Venkatesa R. very good