Post-Thrombotic Iliac Intervention and the Importance of Detailed Venous Imaging
Jan Sloves, President and Consultant at Vascular Imaging Professionals LLC, shared on LinkedIn:
”Case Study Spotlight: Post-Thrombotic Iliac Intervention
I recently shared a fascinating case inside the Ultrasound Unlocked Case Study Library that highlights why detailed venous imaging matters.
Patient: 51-year-old male
History: IV drug use, family history DVT, Factor V Leiden, prior motorcycle accident → left leg DVT → post-thrombotic syndrome
Symptoms: Thigh/calf tightness, bursting pain after 1–2 blocks, hyperpigmentation, limited relief from anticoagulation + compression
Key Findings:
- All distal veins compressible, no reflux
- External iliac vein occluded up to hypogastric vein
- Left common iliac compressed by artery
- Velocity ratio 5.3 (>2.5 cutoff)
Intervention: successful iliac stent placement with excellent patency post-op
Takeaway: Careful duplex and IVUS evaluation can uncover hidden proximal obstructions that mimic arterial claudication, opening the door for effective endovascular treatment.
Want to access the full case study (with imaging, deep dive findings, and discussion)?
Join the Ultrasound Unlocked Community and explore the Case Study Library.”
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