Study Questions: Chapter 20

Chapter 20: Endovascular and Surgical Treatment of Venous Disease

ROBERT M. SCHAINFELD, DO

Study Questions : Chapter 20

* 1.) What additional diagnostic testing may be appropriate in a 41-year-old woman who underwent successful endovenous ablation and, despite duplex ultrasound confirmation of left great saphenous vein (GSV) thrombosis, failed to heal the venous ulcer?
* 2.) A 25-year-old woman underwent radiofrequency ablation of the left great saphenous vein (GSV).

At the 48-hour duplex ultrasound follow-up study, the GSV was confirmed to be thrombosed; however, there was evidence of hyperechoic thrombus extending up to the saphenofemoral junction, but not into the common femoral vein. What is the best option for management of this patient?

* 3.) A 21-year-old lobster fisherman presents to the emergency room with a 3-day history of right arm/hand swelling and discomfort. Duplex ultrasonography confirms acute thrombosis of the axillosubclavian veins extending into the basilic vein.

What would be the most appropriate management strategy to optimize a favorable clinical outcome?

* 4.) Which one of the following candidates would benefit most from catheter-directed thrombolysis?
* 5.) Which one of the following statements is true regarding iliac vein revascularization?