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810, 2019

October Case Study

October 8th, 2019|Clinical Connection, News, Vascular Videos, Wound and Vascular News|

This is a 75 year old female with a history of significant left arm swelling of a chronic nature, with heaviness, tiredness, swelling, tingling of the left arm that developed after a port placement via the left subclavian approach for her breast cancer chemotherapy.  The porta-cath was removed post-treatment.  Following this, she developed significant swelling of the left arm with symptoms as mentioned.  On physical exam. there was 5 cm circumferential differential between the left and the right arm, with left arm being larger.  Ultrasound of the left arm suggested possible left axillary vein stenosis.
The patient had a venogram performed confirming occlusion of the left axillary and subclavian vein with extensive collateralization.
Endovascular recanalization of the left axillary and subclavian veins was performed with re-entry venogram, confirming intra-luminal position of the catheter.  Multiple sequential angioplasties post, with less than optimal results, followed by stenting leading to excellent flow and results.  Follow up demonstrated normalization of […]
2009, 2019

Critical Limb Ischemia

September 20th, 2019|News, Wound and Vascular News|

This is a patient with a history of critical limb ischemia. She had no significant out flow. She had large vascular ulcers. She had limb pain of significant nature. After recanalization and stenting, her pain finished significantly. She was then treated with sessions of hyperbaric and was managed by our wound care team and now on her way to recovery.