Traditionally, gonadal vein embolization is done by placing coils 10-20% over sized compared to the target vein. Often 10 or more coils are required to treat a single vein. Each coil only treats a short segment of vein leaving other segments open. The "uncoil coil" technique utilizes large diameter longer coils allowing a gonadal vein to be treated with 2-3 coils. The procedure is faster, exposes the patient to less radiation and reduces the risk of maldeployment and migration.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia