Video : Post thrombotic syndrome with high grade compression stenosis of left iliac vein

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Endovascular / Venous / Case in the box

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Management of severe left iliac vein stenosis (May-Thurner Syndrome) after pulmonary embolism.

Interest of intravascular ultrasound for diagnosis and veinous stenting.

Description

External echography for left common vein puncture
IVUS for diagnosis of venous compression and measurement
Pre-dilatation of left iliac vein
Venous stenting of left iliac vein from vena cava to the left common femoral

Learning points

Management after pulmonary embolism
Importance of IVUS for confirmartion and diagnosis of compression (May-Thurner syndrom)
Role of new venous stent
Complementary medical therapy and duration of anti-coagulant treatment

Shooting date : 2015-02-03
Last update : 2021-06-09