BMJ Case Reports 2009; doi:10.1136/bcr.08.2008.0768
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Retrograde popliteal approach to common femoral vein stenosis in an intravenous drug user with hostile groin: a case report

  1. Zakir K Mohamed1,
  2. Ben Banerjee1,
  3. Andrew S Brown1,
  4. Paul Dunlop1,
  5. Simon J P England2,
  6. Klaus Overbeck1,
  7. Shanmu Vetrivel1
  1. 1
    Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK
  2. 2
    Sunderland Royal Hospital, Radiology Department, Kayll Road, Sunderland SR4 7TP, UK
  1. Zakir K Mohamed, zakirkm{at}
  • 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.

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