Mechanical thrombectomy may be an adjunct in severe or refractory septic thrombophlebitis, particularly with persistent bacteremia, clinical deterioration, threatened venous outflow, or infected thrombus.
https://t.co/PZ5zMrqb1m
@KECKSchool_USC@UWRadiology@InariMedical
Heparin resistance during venous thrombectomy: when more heparin isn’t the answer.
Our latest case highlights persistent subtherapeutic ACT despite 21,000U UFH, with thrombus re-accumulation during thrombectomy.
Recognize it early. Check anti-Xa/AT levels. Consider alternative anticoagulation strategies.
#IR #DVT #Thrombosis #HeparinResistance
Could have done either, metastatic ca with caval- iliac compression, clot bilaterally but predominantly CFV FV PFV all the way down to PT/peroneal, you can see subacute/ chronic components. Did ble CFV access and floss to account for length considerations. 2.5 hrs. 300ebl
Haven’t posted clot pictures in a while but a really satisfying thrombectomy with Penumbra Flash 2.0 and SmartClaw. Anyone else using this in combination for a “gentler” mechanical thrombectomy?
PE Compass just got an upgrade — driven by physician feedback.
New:
⚡ Automatic normotensive shock calculation
💬 Discussion board for the gray-zone PE cases
🛠️ Workflow + usability improvements
Check it out!!! https://t.co/LwwUVf9SS0
@FarajAlkassMD@roblookstein@TheRealDoctorOs@SDhandMD@CHICKVIR@SIRRFS Patient was considered non operable due to prior Ca history by both Vascular and GI surgery. Our advanced Gi said nothing to do. I didn’t know if stent grafts would develop a biofilm of the poly-microbes and continue to be a nidus for infection long term.