When “everything “conventional fails at crossing chronically occluded #stent, 18G Needle puncture of cap can make ALL the difference! Stick patent vein just below stent,flatten needle &puncture thru occlusion & VOILA! Society of Interventional Radiology Jeffrey F. B. Chick, MD, MPH Mark Lessne, MD Keith Pereira MD, #VIrad SIR ECS

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD How will you keep it patent for the next 15 years?

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD I think it’s a good start .. don’t you agree?

@SIRspecialists @CHICKVIR @LessneVIR @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD #LikeABoss!

@SIRspecialists @CHICKVIR @LessneVIR @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Was a bit nervous to be honest

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Excellent work Venkat, morbid issue with no well established tools as yet. Def a difficult problem to solve, and with increased prevalence as more awareness of venous disease and associated treatments

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Very well done. Have had similar in the past and used a modified TIPSS creation system (straightened RUPS) to cross occlusion within existing stent then plastied and relined. The system is long enough to get through if femoral access is achievable and provides a stable platform

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Yes, used that in upper extremity CTO. If we can avoid relining that would be great! Agree ?

@CHICKVIR @SIRspecialists @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Well done .. had a very similar case last month .. chronically occluded venous stent .. sharp recan .. she visited my unit few days as first follow up.. happy patient, patent stent and pain free 👍🏼

@CHICKVIR @SIRspecialists @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD Way to go! 🙌🏾

@SIRspecialists @CHICKVIR @LessneVIR @keithppereira @SIR_ECS @ElmasriFakhir @SDhandMD @kmadass @IRKhalsa @RajWellnessMD @AmputationSuck @drochohan @AustinBourgeois @DrJayMohan @RexRayMD The person who solves this rising problem will be a rich individual....