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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Initial experience using VenaCore Catheter for chronic DVT patient
Victoria Malak1, Charles Shirley2, Oleksiy Gudz3
1University of Arkansas for Medical Sciences, Student M4, Little Rock, Arkansas, USA.
Insights
This study introduces a lytic-free thrombectomy technique for chronic iliofemoral deep vein thrombosis (DVT) using VenaCore, demonstrating its feasibility and effectiveness in restoring blood flow and improving patient symptoms.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Thrombosis Management
Background:
- Chronic iliofemoral deep vein thrombosis (DVT) frequently involves organized, adherent thrombus that resists thrombolytic therapy.
- Effective treatment strategies for organized venous thrombus remain a clinical challenge.
Abstract:
Chronic iliofemoral DVT often contains wall-adherent thrombus poorly responsive to lysis. We report lytic-free thrombectomy using VenaCore. A 45-year-old man with acute-on-chronic right iliofemoral DVT (CEAP C4, VCSS 13) underwent popliteal access, VenaCore plus ClotTriever extraction, balloon angioplasty, IVUS-guided sizing, and selective stenting; simultaneous contrast via a coaxial 4 Fr sheath enhanced capture. Completion venography/IVUS showed restored inline flow with < 30% residual stenosis. He was discharged on day 3; at 1-month, duplex confirmed patency and VCSS improved to 7. VenaCore-assisted thrombectomy with IVUS-guided selective stenting appears feasible and effective for organized venous obstruction.
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