Presentation
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.
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Revascularization strategy of a chronic iliofemoral DVT in a 45 year old female patient with venous claudication and persistent swelling of left leg.
Nice case Michael. Can you make some comments regarding your access strategy? I would access PV or combine JV access for precise distal positioning of the stent. One more question is overlapping contralateral side since it’s givving me bad dreams; you do have significant number of the cases- what is the incidence of the contralateral thrombosis as the consequence of compromised flow in your cohort? Have you considered other tactic (Oblique stent, Gianturco Z stent)?
Dear Michael! Thank you for the nice case! What are you doing, if the IVUS shows a recoil of the stent? Repeat-PTA, Stent-in-Stent or your give time to the stent to work on the lesion? Finally, can you provide us your algorithm about anticoagulation?
Great question Theo.
I recommend to use IVUS always also after venous stent implantation to proof Aspect Ratio = 1.
If AR is > 1 another post dilatation must be done to achieve good flow and long term patency (for more details see uploaded paper on lumen quality).
Michael