PMC6535643_01
PCD at time of presentation.
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Left Lower limb examination showed (Fig. 1): cyanosis, severe edema, blistering of skin extending up to the scrotum.
Venogram Pre PCDT.
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Under ultrasound guidance & putting the patient in a prone position, the occluding thrombus was accessed distally from popliteal vein & a retrograde venogram was done, which showed a thrombus that almost completely occluding the popliteal vein (Fig. 2) extending all the way up to ilio-femoral veins with no contrast passing through to the inferior vena cava (I.V.C).
Venogram during PCDT.
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After 18 h, the patient was brought back to the angio suite & a venogram was done which showed lysis of most of the thrombus burden (Fig. 3).
May-Turner syndrome during venogram (in prone position).
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However, there was narrow segment in the left common iliac vein at the confluence (Fig. 4).
Venogram post PCDT & stenting.
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Then the vein was stented with a size 16mm, length 21mm self-expandable wall stent with no residual stenosis left Fig. 5).