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.
Presentation at Charring Cross Meeting London 2015
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
62 year old female suffering for 30 years with pelvic venous congestion