Poll 01/12/2018 – 31/12/2018
Chronic deep vein thrombosis and postthrombotic syndrome
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.
Which percentage of patients will develop a postthrombotic syndrome during the first 5 years after deept vein thrombosis (DVT)?
- > 60%
In which stage of postthrombotic syndrome, would you perform an endovascular therapy?
- Swelling and pain
- Brownish or reddish skin discoloration - dermatoliposclerosis
- Atrophy blanche
- All of the above, except for swelling and pain
Which is your access of choice in case of an occluded common femoral vein?
- Contralateral common femoral vein
- Transjugular approach
- Ipsilateral popliteal vein
Which kind of profile do you select for your wire to recanalize the occluded vein?
Which is the most appropriate overlapping between two stents in the treatment of chronic vein occlusion?
- No overlapping
- 1 cm
- 2 cm
- 3 cm
- > 3 cm
Which is the duration of the anticoagulation regime after vein stenting in patients with thrombophilic disorders?
- Only 1 year
- Only 6 months
- No anticoagulation
Are you using ASA additionally to oral anticoagulation after vein stenting?
Which is the duration of compression therapy that you recommend to your patients after vein stenting for chronic DVT and severe postthrombotic syndrome?
- 1-3 months
- 6 months
- 1 year