Diagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome. (July 2021)

• Record Type: Journal Article
• Authors: Chan, Shin Mei; Lee, Alfred; Roy, Bhaskar; Chaar, Cassius Iyad Ochoa
• Is Part Of: Vascular & endovascular surgery. Volume 55:Number 5(2021)
• Page Start: 515
• Page End: 518
• Publication Date: 2021-07
• Subjects: post-thrombotic syndrome -- post-phlebitic syndrome -- iliac vein compression -- endovascular stenting; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574421995020
• Languages: English
• ISSNs: 1538-5744

Abstract

Iliofemoral deep vein thrombosis can lead to post-thrombotic syndrome, a costly and morbid condition. Endovascular treatment is increasingly used for symptomatic relief, but clinical success depends on accurate patient evaluation and selection. This case describes the diagnostic and technical challenges in the care of a complex patient with post-thrombotic syndrome following stroke and extensive deep vein thrombosis. It highlights the multi-disciplinary work-up for a patient with post-thrombotic syndrome presenting with confounding symptoms, as well as the importance of considering alternative access for successful lower extremity venous recanalization.