Peripheral cases
Stenting of the Left Iliac Vein – Sept 2014

C: 43 y.o. woman with chronic left LE swelling and discomfort
Past medical history: Left LE recurrent DVT, Hypothyroidism, Hypopituitarism, Acromegalic gigantism, Hypocortisolism, Cervical Cancer, Pituitary surgery
Medications: Aspirin, Plavix, Cilostazol, Lipitor, Metoprolol, Enalapril, Norvasc, Glipizide, Levothyroxine, Meformin
Medications: Prednisone, Levothyroxine, Warfarin
Social History: Non-Smoker, No history of alcohol or drug abuse
Pertinent Physical Examination:

Vitals: 110/70, Pulse-77/min, Pulse Ox-98% on RA, RR-16/min, Temp-98F
Left lower extremity swelling with pitting edema
CT Angiography of the Pelvis and Lower Extremities:

Focal stenosis of the left common iliac vein between the right common iliac artery and lumbar spine, consistent with May-Thurner syndrome
Heterogeneously dense left external iliac vein , which may represent chronic thrombus versus mixing of contrast in a slow flowing vessel
Plan

Stenting of the left liac vein

33:51

comments

Join the Discussion

One thought on “Stenting of the Left Iliac Vein – Sept 2014”

  1. Christina Miscally says:

    I would love to know how this patient is doing currently. Thank you for making these videos available to public. I learned a lot from your video.


Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Views 153

Case and Plan: 80 year old female with history of diabetes, hypertension, hyperlipidemia, former smoker, PAD with prior right SFA and more recently left SFA stent placement in May 2020 (Eluvia 6.0x120mm) presenting with left sided claudication that has progressed to pain at rest.


Management of Aortoiliac Disease (CERAB Technique) – September 2020
Views 119

Case and Plan: 72 year-old female with hypertension, hyperlipidemia, COPD, hypothyroidism, former smoker with several months of bilateral, severe lifestyle limiting claudication with less than 1/2-1 block of exertion that has progressed to pain at rest. Pain involves her bilateral thighs, legs and feet. Noninvasive studies severely reduced ABIs bilaterally with monophasic waveforms in the […]


LEFT SFA CTO REVASCULARIZATION – August 2020
Views 333

Case and Plan: 55 year-old-male with mutliple comorbidities, who presents with ongoing, bilateral lifestyle-limiting claudication now progressed to rest pain (L>R) who is status post R SFA CTO intervention and now planned for L SFA CTO intervention via femoral approach.


Transradial Approach for CFA Intervention Involving Fem-Fem Bypass Graft – July 2020
Views 269

Case and Plan: 70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity […]