22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT). Initial attempt at catheter directed thrombolysis without iliac vein stenting resulted in re-thrombosis. The patient had severe restriction in activity due to venous claudication and he wanted to see if anything could be done. He underwent stenting and venoplasty of the left common and external iliac veins. There was marked improvement in leg swelling and leg pain. However, the changes from the original DVT in the femoral and popliteal veins have left him with persistent swelling and discomfort.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.