In this episode, host Ally Baheti interviews Dr. Minhaj Khaja about iliocaval reconstruction. Minhaj is a Clinical Professor of Radiology and Cardiac Surgery and Associate Program Director of Interventional Radiology Residency at the University of Michigan.

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SHOW NOTES

Minhaj begins by sharing how deep venous disease typically presents, as well as his clinical workup. He emphasizes the importance of gathering prior imaging, taking a thorough history and comprehensive physical exam, and calculating Villalta scale and Venous Clinical Severity Score (VCSS) for deep venous disease.

Minhaj then tells us more about his approach to complex cases. We cover his setup and intra-op workflow in patients with good inflow, poor inflow, and prior chronically occluded stents. Minhaj and Ally also discuss anticoagulation, types of stents, crossing devices/sharp recanalization, and treating inflow via tibial vein access.

Minhaj also shares his experience with using arterial re-entry devices for crossing long, occluded venous segments, radiofrequency wires for chronically occluded stents, and the new RevCore mechanical thrombectomy device made specifically for venous stent thrombosis. Ally and Minhaj then conclude the episode by highlighting the components of good follow up for patients.

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RESOURCES

C-TRACT Venous Trial:

https://clinicaltrials.med.nyu.edu/clinicaltrial/536/c-tract-study;-chronic-venous/

RevCore Mechanical Thrombectomy Device for Venous Stent Thrombosis:

https://www.inarimedical.com/revcore/

Venovo Venous Stent:

https://www.bd.com/en-us/products-and-solutions/products/product-families/venovo-venous-stent-system

Zilver Vena Stent:

https://www.cookmedical.com/products/f3af274c-42cc-42cd-a0db-e5715ad57cc4/

Abre Venous Stent:

https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/deep-venous/abre-venous-stent.html