Deep Vein Thrombo sis Radiolog y
·
Thrombus
formation in the
deep veins
of calf is a
clinical
common
problem.
·
Predisposing causes include:
Recent
(a)
surgery Id Neoplastic disease
be contraceptive states.
Hypercoagnability
use
(e)
Prolonged bed rest
Clinical Features:
ii)
Calf swelling
in
calf pain
iii.
Pulmonary embolus.
Radiological Investigations:
(i) Colour ultrasound
Doppler
ii)
Venography
*
-
Complications:
·
Pulmonary embolus
Postphlebitic syndrome.
Treatment:
(i) Heparin
iii)
Anticoagulants
Vena
is cava
filter insertion in recurrent
pulmonary
embolization. Introduced
percutaneously via the
femoral or internal jugular vein
positioned in
interior vena cava, justbelow Renal veins.
Indications for IVC Filter Insertion:
Steps:
Step by step demonstration of the endovascular rescue
technique (A) Standard access via the right internal jugular vein
with inferior vena cava (IVC) filter retrieval kit (B) Using the
loop–snare technique, the hook and collet of the filter were
captured
(C) Approximately halfway through removal of the filter through
the sheath, the tip of the IVC filter was found to have perforated
the side of the retrieval sheath (D) Via a 16 F, 45 cm sheath in the
right common femoral vein, an Amplatz wire was used to cannulate
the distal end of the perforated retrieval sheath and a six mm ×
four cm balloon was advanced into the distal end of the perforated
retrieval sheath
(E) After removing the Tuohy–Borst and Luer adapters on
the perforated sheath, it was able to be internalised, along
with the IVC filter, and removed via the femoral vein
sheath. SVC = superior vena cava.
C
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