30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral deep venous thrombosis (DVT). Patient was started on anticoagulation. 5 days later, still having severe swelling and pain. Pharmacomechanical thrombolysis using TPA and the angiojet was performed with removal of the bulk of the thrombus. Stenting and venoplasty of the compression of the left common iliac vein was then performed. Patient had complete relief of symptoms nearly immediately and continues to do well 3 years later. No problems of post thrombotic syndrome.
64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up
Presentation at Charring Cross Meeting London 2015