Presentation
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
0
Thank you for this excellent step by step case presentation.
What is your follow up regime in this case and what anticoagulation- for how long do you recommend? Thank you.
This is a young woman who suffered a postpartum iliofemoral DVT and a failed lytic therapy attempt in another center. The cause was probably an underlying May-Thurner compression with a negative thrombophilia workup. As there were more than two venous segments affected we kept him in oral anticoagulation for 12 months and after long life aspirin
In my practice I use these regimes:
– NIVL:
Bemiparine 3500 UI / SC at 6 and 24 hours after the procedure followed by aspirin 100 mg PO / 24 hours for 12 months.
– CHRONIC DVT:
Lesions involving ≤ 2 venous segments: Bemiparine 3500 UI / SC at 6 and 24 hours after the procedure followed by aspirin 100 mg PO a day for 12 months.
Lesions involving ≥ 3 segments, thrombophilia, previous anticoagulant treatment and poor venous inflow: Bemiparin at weight-adjusted therapeutic dose / 24 hours SC for 15 days followed by oral anticoagulation for at least 12 months.
– ACUTE DVT: Bemiparin at weight-adjusted therapeutic dose / 24 hours SC for 15 days followed by oral anticoagulation for at least 12 months.