Library

Welcome to the Library of Vascupedia. Use our filters on the left side of the page to quickly find the content of your interest. You may select an area of interest and the respective indication or the media type.

Poll 01/12/2018 – 31/12/2018

Chronic deep vein thrombosis and postthrombotic syndrome

Case presentation:

41 years old female patient presenting with swelling of both limbs, diffuse aching, heaviness and tiring of both extremities since 5 years from a previous deep vein thrombosis on both limbs. At the time of presentation, the patient showed severe dermatoliposclerosis on the right extremity and ulceration at the level of the left internal malleolus. The patient had no other risk factors except Factor V Leiden mutation.

Poll 01/11/2018 – 30/11/2018

Ilio-femoral deep vein thrombosis

45 years old female patient presenting with painful swelling of the right limb during the last 24 hours. Wells score on admission was 4 points. The duplex ultrasound scanning revealed a femoropopliteal and iliac deep vein thrombosis. No other risk factors were present. No previous operations. No thrombophilia documented.

Vascular images

Syncopal episode with spontaneous bleeding of common femoral artery and pulmonary embolism

Female patient, 72 yo, obesity, hypertension and cerebral hemorrhage in 2003 in her history. She was admitted due to a syncopal episode. Brain CT was negative. Body-CT revealed an active bleeding from the deep (PFA) and common femoral artery (CFA) and massive pulmonary thromboembolism (TEP). A selective embolization with Onyx and a covered stent was deployed to treat the bleeding. Catheter-directed thrombolysis (AngioJet) was performed to treat TEP and an IVC filter was deployed for DVT.

October 30, 2018 No Comments
Recorded video case

Endovascular treatment of recurrent acute deep vein thrombosis

Dr. Bisdas (Vascular Surgery, Muenster, Germany) presents a recorded case of a recurrent DVT in the right common iliac vein treated by percutaneous thrombectomy and venous stenting. In this case, the operator discusses important issues like decision making, criteria for selecting the thrombectomy device and the stent, how to choose the right diameter for your stent, crucial steps during the intervention and which should be the duration and type of anticoagulation after endovascular treatment.

October 8, 2018 No Comments
Recorded video case

Recanalization techniques of chronic iliofemoral vein occlusions

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

August 14, 2018 2 Comments
Review of the literature

Iliofemoral outflow obstruction: Awareness, Diagnostic approach, Treatment strategies

This presentation gives an overview on the current evidence for diagnosic approach and treatment of acute and chronic iliofemoral venous outflow obstruction.

June 30, 2018 No Comments
Recorded video case

Aspiration thrombectomy for venous stent occlusion at the iliac vein

This a case of aspiration thrombectomy of an occluded venous stent after treatment of an iliac vein compression due to ovarian cancer. We used the Indigo thrombectomy catheter (Penumbra) to remove the clot and a Veniti stent (Boston Scientific) to optimize the final result. In this video, you will learn important steps of the procedure, tips and tricks for the use of the Indigo system as well as important features of both devices.

June 22, 2018 2 Comments
Recorded video case

Revascularization of chronic iliiac vein obstruction

Revascularization strategy of a chronic iliofemoral DVT in a 45 year old female patient with venous claudication and persistent swelling of left leg.

June 13, 2018 3 Comments
Clinical investigation

12 M Outcomes of the Veniti Vici Venous Stent System for iliofemoral deep vein thrombosis

Dedicated vein devices might improve the outcomes of endovascular treatment for the treatment of acute and chronic deep vein thrombosis. This short presentation summarizes a 2 center experience with the Veniti Vici Venous Stent System.

May 31, 2018 2 Comments
Review of the literature

Perforators: When to treat and how best to do it?

This presentation answers the questions of why, when and how to treat perforating veins in patients with healed or active venous ulcers. Moreover, we present the results of our study Hager et al. Factors that Influence Perforator Vein Closure Rates Using Radiofrequency Ablation, Laser Ablation or Foam Sclerotherapy. (J Vasc Surg, accepted for publication) in 296 perforators.

May 28, 2018 2 Comments
Review of the literature

Step by step ultrasound examination of varicose veins

Which are the most important steps and technical issues that you have to keep in mind during ultrasound examination of varicose veins

May 8, 2018 2 Comments

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