Polling station

Welcome to the Polling Station of Vascupedia. Every first of the month and during all the month, you can vote on a new topic of great interest. The results of the voting will illuminate the current practice and needs in the treatment of vascular diseases worldwide.

 

Why is your participation important?

Here you can express your opinion and vote actively on controversial issues in vascular medicine. Your vote is of unique importance to evaluate current techniques and technologies and to highlight your demands and challenges. After voting, you will be able to follow the ongoing results anytime and to see the expert’s opinion on the respective topic. At the end of the month, the expert will comment also on the final results

 

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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.

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Question # 1

Prevalence of postthrombotic syndrome

Which percentage of patients will develop a postthrombotic syndrome during the first 5 years after deept vein thrombosis (DVT)?
  • 10%

  • 20-40%

  • 40-60%

  • > 60%

Next Question

Indication for treatment

In which stage of postthrombotic syndrome, would you perform an endovascular therapy?
  • Swelling and pain

  • Brownish or reddish skin discoloration - dermatoliposclerosis

  • Atrophy blanche

  • Ulceration

  • All of the above, except for swelling and pain

Next Question

Access vessel

Which is your access of choice in case of an occluded common femoral vein?
  • Contralateral common femoral vein

  • Transjugular approach

  • Ipsilateral popliteal vein

Next Question

Wire and support catheters

Which kind of profile do you select for your wire to recanalize the occluded vein?
  • 0.035

  • 0.018

  • 0.014

Next Question

Overlapping between stents

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

Next Question

Anticoagulation

Which is the duration of the anticoagulation regime after vein stenting in patients with thrombophilic disorders?
  • Lifelong

  • Only 1 year

  • Only 6 months

  • No anticoagulation

Next Question

ASA (Acetylsalicylic acid, Aspirin) after vein stenting

Are you using ASA additionally to oral anticoagulation after vein stenting?
  • Yes

  • No

Next Question

Compression therapy 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?
  • None

  • 1-3 months

  • 6 months

  • 1 year

  • Lifelong

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