slscott
New
After obtaining informed consent, the patient was taken to the operative suite placed supine on the procedure table. A timeout was performed with the OR staff and physicians, correctly and then the patient, the site, and the procedure. Perioperative doses of antibiotics were given. She was placed under general anesthesia and then placed prone on the procedure table with all the correct padding.
The right popliteal space was prepped and draped in usual sterile fashion. Under ultrasound guidance I accessed the right popliteal vein and dilated up to a 6 French sheath. I was then able to get a wire and aqua tempo catheter into the external iliac vein but was unable to traverse the clot in the common iliac vein up into the IVC. After multiple wires and catheters and attempts, the procedure was aborted. I had upsized to a 7 French sheath which was a 55 cm sheath. The patient was given 5000 units of heparin during the procedure.
I then pulled the sheath and held pressure for 10 minutes on the popliteal space on the right side. A 4-0 Monocryl was utilized to place interrupted dermal sutures at the skin at my small incision and then sterile dressings were placed as well as a large Ace bandage on the leg.
All final instrument and sponge counts were correct x2. She will be discharged home with appropriate instructions and I will see her back in clinic in 2 weeks to check her progress. We will resume her Eliquis this evening.
The right popliteal space was prepped and draped in usual sterile fashion. Under ultrasound guidance I accessed the right popliteal vein and dilated up to a 6 French sheath. I was then able to get a wire and aqua tempo catheter into the external iliac vein but was unable to traverse the clot in the common iliac vein up into the IVC. After multiple wires and catheters and attempts, the procedure was aborted. I had upsized to a 7 French sheath which was a 55 cm sheath. The patient was given 5000 units of heparin during the procedure.
I then pulled the sheath and held pressure for 10 minutes on the popliteal space on the right side. A 4-0 Monocryl was utilized to place interrupted dermal sutures at the skin at my small incision and then sterile dressings were placed as well as a large Ace bandage on the leg.
All final instrument and sponge counts were correct x2. She will be discharged home with appropriate instructions and I will see her back in clinic in 2 weeks to check her progress. We will resume her Eliquis this evening.