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BackTable Vascular & Interventional

Ep. 382 Iliofemoral Stenting: Decision-Making and Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz

Nov 6, 2023
Dr. Kush Desai and Dr. Steven Abramowitz discuss iliofemoral venous stenting, including referral patterns, work-up of patients, procedural approach, best practices, and post-operative follow up. They also touch on the impact of venous disease, tools for complex crossings, stent selection, recognizing problems during procedures, and the rapid evolution of venous stenting.
01:02:12

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Quick takeaways

  • When treating post-traumatic patients, the decision to use a permanent prosthetic should be carefully evaluated considering factors like quality of life and long-term implications.
  • Early intervention in iliofemoral venous obstructive disease is crucial to prevent venous hypertension, claudication, and significant skin changes and wounds.

Deep dives

Treatment Decision and Prosthetic Consideration for Post-Traumatic Patients

When considering the treatment of post-traumatic patients, the decision-making process can be challenging. It involves assessing factors such as compliance, inflow availability, and the long-term implications of using a permanent prosthetic. Treating a young patient with a permanent prosthetic raises serious questions about their quality of life for the next several decades. However, the decision ultimately depends on the individual patient and should be taken seriously.

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