Most recents (2)

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1/ Atypical CLOT- a tweetorial

I recently saw a controversial tweet arguing against tx of chronic clot and restricting tx SOLEY to the CFV/iliac. While I agree (for the most part)- data is limited. At the end of the day we care about the pt, and not every pt is the same! Case➡️

2/ Pathophysiology of chronic #clot formation.

It’s important to recognize the lesions that can form after a clot:

Spurs/Webs
Rokitansky/NIVL/fibrosis

Your pts CEAP >5 always consider for non thrombotic obstructions! Consider #IVUS if things don’t fit!

3/ Clot is in a constant state of evolution. #Fibrin—> #Collagen.

Unfortunately many patients present in the subacute or late phase of #clot development which hinders many of our treatment approaches.

7️⃣days- 20% collagen

1️⃣5️⃣ days- 50% collagen

2️⃣1️⃣days- 80% (!!) collagen

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

@DrJayMohan