Retrograde popliteal approach to common femoral vein stenosis in an intravenous drug user with hostile groin: a case report
- Zakir K Mohamed1,
- Ben Banerjee1,
- Andrew S Brown1,
- Paul Dunlop1,
- Simon J P England2,
- Klaus Overbeck1,
- Shanmu Vetrivel1
- 1Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK
- 2Sunderland Royal Hospital, Radiology Department, Kayll Road, Sunderland SR4 7TP, UK
- Zakir K Mohamed,
- Published 1 December 2009
Intravenous (IV) drug abuse is a common problem in our society. One complication of this practice is venous stenosis, endovascular management of which can be technically challenging especially in patients with a hostile groin. We describe an ipsilateral retrograde popliteal approach in a 26-year-old IV drug user presenting with swelling of the left leg secondary to common femoral vein stenosis. This approach represents the next best method following failed contralateral/cross-bifurcation access and is a safe, convenient alternative offering a “straight run” at the lesion.
Contributors: ZKM wrote the initial draft, KO and SJPE performed the procedure, and BB, AB, PD and SV supervised and contributed to the paper including approval of the final paper.
Competing interests: None.
Patient consent: Patient/guardian consent was obtained for publication.