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Recorded case of a 72 yrs old woman with CLTI (Rutherford V, TASC D lesion), not suitable for open repair, treated in a hybrid setting with IVUS guided kissing endovascular lithoplasty and bare-metal-stent implantation for a coral reef aortic stenosis in visceral segment, with a stent-graft for the right CIA and bare-metal-stent for the right CEA for the iliac high-grade stenosis and a femorofemoral bypass.
Despite the continuous development of endovascular modalities we still base our therapy in conventional angiographic imaging. IVUS might help us, however, to better understand the characteristics of the disease and guide our treatment. This presentation summarizes the value of peripheral arterial IVUS in our decision making process.
This case presents important intraoperative steps of the endovascular treatment of non-thrombotic iliac vein lesion (May Thurner) as well as the key features of the VICI stent (Boston Scientific).
This video resumes the steps of performing a recanalization and stenting of a post-thrombotic iliofemoral vein oclussion including phlebographic and IVUS assessment.
Key words: Venous stenting, venous recanalization, posthrombotic syndrome, iliofemoral occlusion, deep vein thombosis, IVUS