Srinivasa Ravi N, Srinivasa Rajiv N, Kafity Nathan, Cline Michael, Hage Anthony N, Gemmete Joseph J, Chick Jeffrey Forris Beecham
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI.
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI.
Ann Vasc Surg. 2018 Aug;51:326.e1-326.e4. doi: 10.1016/j.avsg.2018.02.013. Epub 2018 Apr 13.
Antegrade access for endovenous laser therapy may be technically challenging due to patient body habitus, vasospasm, dehydration, and poor visibility of vasculature. This report describes a retrograde approach from the contralateral femoral vein to facilitate laser ablation of the great saphenous vein in the setting of vasospasm. Such a technique may provide a viable alternative in technically difficult situations.
