Vascular intervention

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DVT Localization: 1. Dorsal calf veins (± ascending thrombosis) 2. Iliofemoral veins (± descending thrombosis) 3. Peripheral + iliofemoral veins simultaneously
Diagnosis of suspected (symptomatic) acute DVT • Local symptoms due to obstruction (warmth, swelling, blanching of skin / blue leg, pain) • Duplex US or IPG • Venography or MRV (CTV)
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Historic Highlights of Intervention
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Father of IR PTA
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“A A cardiac catheter can be more
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June 1963
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INTERVENTION RADIOLOGY The procedu
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Interventional Suit Design
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1953 I Seldiger: : Percutaneous cat
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January 16, 1964
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Balloon Angioplasty 1975 A. Grüntz
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PTA Indications (extremity PTA) 1.
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Team cooperation angiologist vascul
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Stent Design Stents (a form of scaf
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Balloon Expandable Stent 1985 J. Pa
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Self-Expanding Medinvent Stent 1985
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Categories of catheter- based tools
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Levels of clinical evidence and Lev
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Categories of chronic limb ischemia
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11,3 mm 10,7 mm
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ILIAC ARTERIES PTA vs Surgery ↓lo
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FEMOROPOPLITEAL ARTERIES Indicatio
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FEMOROPOPLITEAL ARTERIES PTA vs Sur
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INFRAPOPLITEAL ARTERIES PTA vs Surg
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COMBINATION OF FEMOROPOPLITEAL BYPA
Page 67 and 68: IKEM clinical c follow ow up No.of
Page 70 and 71: Case - SIR AFS + a. fibularis, ipsi
Page 74 and 75: CTA za 12 měsíců
Page 76 and 77: CTA after 1 y
Page 78 and 79: PTRA Aim: to open stenotic/ occlude
Page 80: STENT IMPLANTATION ● PTRA complic
Page 85: Stentgraft A/V shunt pseudoaneurysm
Page 89 and 90: Type B aortic dissection
Page 91 and 92: Stentgraft
Page 93 and 94: Stentgraft
Page 95 and 96: Catheter-directed thrombolysis
Page 97 and 98: Acute critical ischemia percutaneo
Page 99 and 100: Pulse-spray pharmacomechanical thro
Page 101 and 102: Pulse-spray pharmacomechanical thro
Page 104 and 105: Acute critical ischemia thrombolys
Page 107 and 108: veckebauer4bo veckebauer4co
Page 111 and 112: 48 mg rt-PA
Page 113 and 114: Deep vein thrombosis = DVT DVT is s
Page 115: DVT Risk factors: 8. Oral contracep
Page 119 and 120: Therapy of DVT • Standard heparin
Page 121 and 122: Thrombolytic therapy The resulting
Page 123 and 124: Catheter-directed thrombolysis for
Page 125 and 126: Catheter-directed thrombolysis A ca
Page 127: Inferior vena cava filters 1. Free
Page 130: Case • 25 y.o. female • 11 days
Page 133 and 134: Pulsed - spray technique (rt-PA)
Page 135 and 136: MRV follow-up 12 months
Page 137 and 138: Percutaneous mechanical thrombectom
Page 139 and 140: Rotarex - fragmentation
Page 141 and 142: Cavography Left iliofemoral thrombo
Page 143 and 144: Procedure pics
Page 145 and 146: Residual clots in filter
Page 147 and 148: Result after stents placement Smart
Page 149 and 150: Dialysis graft occlusion
Page 151 and 152: 3,8 mg rt-PA
Page 153 and 154: Chronic occlusion
Page 155: Basic CEAP classification of chroni
Page 160 and 161: Wallstent 14 x 60 mm Wallstent 12 x
Page 162: CTF
Page 165 and 166: 12 mm x 4 cm
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Wallstent 14 mm x 6 cm 18 mm x 9 cm
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ILIAC VEIN COMPRESSION SYNDROME = M
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ILIAC VEIN COMPRESSION SYNDROME = M
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Case Aplasia VCI lTL 1 mg rt-PA/h
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CTF after 3 days
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Case Balloon 12 x 40 mm
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CONCLUSION Catheter-directed throm
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CONCLUSION Any hemodynamically sig
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Endovascular treatment of massive p
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Endovascular mechanical INDICATION
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PTD (Roček M, et al. Eur Radiol 19
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TIPS - Transjugular intrahepatic po
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Clinical TIPS 1988 G. Richter
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TIPS
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TIPS + embolization
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TIPS
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Coils = many types and sizes are av
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non-detachable coils detachable co
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Indications peripheral arterial an
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Catheters Diagnostic catheters (4,
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Peripheral Hydrocoil It is offering
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OCCLUDERS Amplatzer septal occlude
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Amplatzer vascular plugs A single d
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efore after cause: hemodialysis cat
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A-V V pulmonary malformation after
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Vascular intervention

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