Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion
Introduction: This case report presents an ultrasound guided needle penetration technique as a novel method for the recanalisation of short segment chronic femoral vein occlusion in a patient with a history of intravenous drug use. Case report: A 41 year old male presented with a painful calf ulcer....
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | EJVES Vascular Forum |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666688X25000152 |
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| author | Tamás Büki Vasileios Leivaditis Manfred Dahm |
| author_facet | Tamás Büki Vasileios Leivaditis Manfred Dahm |
| author_sort | Tamás Büki |
| collection | DOAJ |
| description | Introduction: This case report presents an ultrasound guided needle penetration technique as a novel method for the recanalisation of short segment chronic femoral vein occlusion in a patient with a history of intravenous drug use. Case report: A 41 year old male presented with a painful calf ulcer. Initial ultrasound imaging identified a chronic short segment occlusion in the proximal femoral vein, with extensive scarring from repeated intravenous drug injections. Traditional endovascular approaches were unsuccessful due to dense tissue scarring. The ultrasound guided needle penetration technique was employed to perforate the occlusion, achieving successful wire passage and subsequent stent placement. The patient experienced significant symptomatic relief after the procedure. Conclusion: This case highlights the feasibility and benefits of ultrasound guided needle penetration as an alternative recanalisation approach in severe scarring peripheral chronic venous occlusion. |
| format | Article |
| id | doaj-art-3fd28e4f3f7043bfbcb9cbb5a3b085f4 |
| institution | OA Journals |
| issn | 2666-688X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EJVES Vascular Forum |
| spelling | doaj-art-3fd28e4f3f7043bfbcb9cbb5a3b085f42025-08-20T02:09:52ZengElsevierEJVES Vascular Forum2666-688X2025-01-0163616410.1016/j.ejvsvf.2025.02.004Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein OcclusionTamás Büki0Vasileios Leivaditis1Manfred Dahm2Corresponding author. Hellmut-Hartert Str.1, 67655, Kaiserslautern, Germany.; Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, GermanyDepartment of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, GermanyDepartment of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, GermanyIntroduction: This case report presents an ultrasound guided needle penetration technique as a novel method for the recanalisation of short segment chronic femoral vein occlusion in a patient with a history of intravenous drug use. Case report: A 41 year old male presented with a painful calf ulcer. Initial ultrasound imaging identified a chronic short segment occlusion in the proximal femoral vein, with extensive scarring from repeated intravenous drug injections. Traditional endovascular approaches were unsuccessful due to dense tissue scarring. The ultrasound guided needle penetration technique was employed to perforate the occlusion, achieving successful wire passage and subsequent stent placement. The patient experienced significant symptomatic relief after the procedure. Conclusion: This case highlights the feasibility and benefits of ultrasound guided needle penetration as an alternative recanalisation approach in severe scarring peripheral chronic venous occlusion.http://www.sciencedirect.com/science/article/pii/S2666688X25000152Chronic femoral vein occlusionIntravenous drug usePost-thrombotic syndromeSharp recanalisation techniqueUltrasound guided recanalisation |
| spellingShingle | Tamás Büki Vasileios Leivaditis Manfred Dahm Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion EJVES Vascular Forum Chronic femoral vein occlusion Intravenous drug use Post-thrombotic syndrome Sharp recanalisation technique Ultrasound guided recanalisation |
| title | Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion |
| title_full | Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion |
| title_fullStr | Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion |
| title_full_unstemmed | Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion |
| title_short | Ultrasound Guided Needle Penetration Technique for Recanalisation of Short Segment Chronic Femoral Vein Occlusion |
| title_sort | ultrasound guided needle penetration technique for recanalisation of short segment chronic femoral vein occlusion |
| topic | Chronic femoral vein occlusion Intravenous drug use Post-thrombotic syndrome Sharp recanalisation technique Ultrasound guided recanalisation |
| url | http://www.sciencedirect.com/science/article/pii/S2666688X25000152 |
| work_keys_str_mv | AT tamasbuki ultrasoundguidedneedlepenetrationtechniqueforrecanalisationofshortsegmentchronicfemoralveinocclusion AT vasileiosleivaditis ultrasoundguidedneedlepenetrationtechniqueforrecanalisationofshortsegmentchronicfemoralveinocclusion AT manfreddahm ultrasoundguidedneedlepenetrationtechniqueforrecanalisationofshortsegmentchronicfemoralveinocclusion |