The patient was placed prone on the fluoroscopic table. The indwelling sheaths and catheters were prepped and draped in sterile fashion. 5 ml of lidocaine was applied for local anesthesia. Conscious sedation was administered.
Contrast injections for left lower leg venography performed via indwelling sheaths. There is appreciated marked interval improvement with a small to moderate amount of residual clot within the left common femoral vein and left iliac veins.Catheter directed thrombectomy is performed within these vessels.
Subsequest contrast injections demonstrate milt to moderate stenosis involving the central left superficial femoral vein which is subsequently treated with a 9mm angioplasty balloon. In addition,there is appreciated venous occlusion involving the left common iliac vein. Outflow od the left lower leg is via multiple prominent pelvic collaterals.
The area of total occlusion is carefully crossed with a glidewire under fluoroscopic roadmap control and angioplasty is performed utilizing first a 9mm balloon followed by a separate 10mm angioplasty balloon. Subsequent contrast injections demonstrate improved luminal diameter with considerable residual/recoil stenoses of the left common iliac vein. This was then successfully treated with deployment angioplasty to 10 mm.
Subsequest contrast injections demonstrated appeared venous blockage with marked interval improvemtn in venous luminal diameter as well as venous outflow from the left lower extremity. The catheters, wires and sheaths were then removed terminating thrombolysis and hemostasis achieved.
Contrast injections for left lower leg venography performed via indwelling sheaths. There is appreciated marked interval improvement with a small to moderate amount of residual clot within the left common femoral vein and left iliac veins.Catheter directed thrombectomy is performed within these vessels.
Subsequest contrast injections demonstrate milt to moderate stenosis involving the central left superficial femoral vein which is subsequently treated with a 9mm angioplasty balloon. In addition,there is appreciated venous occlusion involving the left common iliac vein. Outflow od the left lower leg is via multiple prominent pelvic collaterals.
The area of total occlusion is carefully crossed with a glidewire under fluoroscopic roadmap control and angioplasty is performed utilizing first a 9mm balloon followed by a separate 10mm angioplasty balloon. Subsequent contrast injections demonstrate improved luminal diameter with considerable residual/recoil stenoses of the left common iliac vein. This was then successfully treated with deployment angioplasty to 10 mm.
Subsequest contrast injections demonstrated appeared venous blockage with marked interval improvemtn in venous luminal diameter as well as venous outflow from the left lower extremity. The catheters, wires and sheaths were then removed terminating thrombolysis and hemostasis achieved.