×
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


16729 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

      November 2013
      Honolulu : Tuesday, November 12th 2013 from 12:30am to 02am (GMT+1)
      San Francisco : Tuesday, November 12th 2013 from 02:30am to 04am (GMT+1)
      New York : Tuesday, November 12th 2013 from 05:30am to 07am (GMT+1)
      Buenos Aires : Tuesday, November 12th 2013 from 07:30am to 09am (GMT+1)
      London / Dublin : Tuesday, November 12th 2013 from 10:30am to 12pm (GMT+1)
      Paris / Berlin : Tuesday, November 12th 2013 from 11:30am to 01pm (GMT+1)
      Istanbul : Tuesday, November 12th 2013 from 12:30pm to 02pm (GMT+1)
      Moscou / Dubaï : Tuesday, November 12th 2013 from 02:30pm to 04pm (GMT+1)
      Bangkok : Tuesday, November 12th 2013 from 05:30pm to 07pm (GMT+1)
      Shanghai : Tuesday, November 12th 2013 from 06:30pm to 08pm (GMT+1)
      Tokyo : Tuesday, November 12th 2013 from 07:30pm to 09pm (GMT+1)
      Sydney : Tuesday, November 12th 2013 from 08:30pm to 10pm (GMT+1)
      Wellington : Tuesday, November 12th 2013 from 10:30pm to 12am (GMT+1)

      Rotational thrombectomy for proximal deep vein thrombosis

      Live from Marseilles, France - Recorded case from Vascular Center, Arnsberg Clinic, Germany

      Share
      Wednesday, November 23rd 2011 from 04:45pm to 06:52pm (GMT+1)
      Honolulu : Wednesday, November 23rd 2011 from 05:45am to 07:52am (GMT+1)
      San Francisco : Wednesday, November 23rd 2011 from 07:45am to 09:52am (GMT+1)
      New York : Wednesday, November 23rd 2011 from 10:45am to 12:52pm (GMT+1)
      Buenos Aires : Wednesday, November 23rd 2011 from 12:45pm to 02:52pm (GMT+1)
      London / Dublin : Wednesday, November 23rd 2011 from 03:45pm to 05:52pm (GMT+1)
      Paris / Berlin : Wednesday, November 23rd 2011 from 04:45pm to 06:52pm (GMT+1)
      Istanbul : Wednesday, November 23rd 2011 from 05:45pm to 07:52pm (GMT+1)
      Moscou / Dubaï : Wednesday, November 23rd 2011 from 07:45pm to 09:52pm (GMT+1)
      Bangkok : Wednesday, November 23rd 2011 from 10:45pm to 12:52am (GMT+1)
      Shanghai : Wednesday, November 23rd 2011 from 11:45pm to 01:52am (GMT+1)
      Tokyo : Thursday, November 24th 2011 from 12:45am to 02:52am (GMT+1)
      Sydney : Thursday, November 24th 2011 from 01:45am to 03:52am (GMT+1)
      Wellington : Thursday, November 24th 2011 from 03:45am to 05:52am (GMT+1)

      Uterine Fibroid Embolization - Multidisciplinary Approach & Technical Considerations

      From European Hospital Georges Pompidou , Paris, France

      Share

      CLIC 2019: Live Case #7

      Dr Steven Kum, Dr Marco Manzi & Dr Bruno Migliara

      Share
      Scroll Up