Cardiovasc Intervent Radiol (2018) 41:1095–1099 https://doi.org/10.1007/s00270-018-1918-z TECHN ICAL NO TE Addressing Infra-popliteal Thrombus in Iliofemoral DVT: The Criss-Cross Technique 1 2 3 • • Duarte C. Rego Ahmed Khairy Sayed Ahmed Gerard J. O’Sullivan Received: 23 October 2017 / Accepted: 21 February 2018 / Published online: 7 March 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018 Abstract underwent subsequent stenting of their iliac vein lesions. Purpose The purpose of this work was to describe the Minor complications were observed in two patients (ec- results of a technique of simultaneous antegrade and ret- chymosis), while one patient developed a hematoma on the rograde vascular access (‘‘criss-cross’’) to the popliteal vein popliteal fossa. to achieve venous recanalization in patients with acute, Conclusion This ‘‘criss-cross’’ technique represents a safe extensive, iliofemoral DVT with concomitant popliteal and alternative to the distal (anterior or posterior tibial) vein calf vein thrombosis. access both as a bailout option after failed distal venous Materials and Methods Seven patients were treated using access as well as a primary approach due to its potential this technique, in three patients as a bailout option after advantage of clearing
CardioVascular and Interventional Radiology – Springer Journals
Published: Mar 7, 2018
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