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.
Recurrent left testicular pain after inadequate embolization of the proximal left testicular vein
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.