1Hossein Ghanaati,2Omar Al Dahhan, 3Omar Al Dahhan, 4Halla Ghanem
1Tehran University of Medical Science, 2College of Medicine, University of Babylon, 3Fallujah Teaching Hospital, 4Imam Zain al Abideen Hospital
Endovascular revascularization (ER) for chronic mesIliocaval stenting is a demanding type of interventions that is missing totally in Iraq until recently, this is due to lack of sufficient experience from doctors Iliocaval stenting is a demanding type of interventions that is missing totally in Iraq until recently, this is due to lack of sufficient experience from doctors with related specialties i.e. the interventional radiologists and endovascular surgeons and also lack of suitable equipment in both the governmental and private sector of medical work.
Material(s) and Method(s):
All patients treated with ER for CMI After preparation of suitable well-experienced interventional radiologist partner and arrangement with two well-trained vascular surgeons and support from big private hospital, related equipment were prepared and scheduled interventions were issued for indicated cases on 2-3 months interval base.
Successful stenting was achieved in 9/12 patients (10/14 limbs)
1. Venous stenting procedures are very demanding surgeries that need precise equipment preparation that most of interventional radiologists are familiar with, and theoretical knowledge that most of vascular surgeons are familiar with, accordingly well-coordinated teamwork is always the best approach.
2. Most of cases are due to history of provoked DVTs post operative or post trauma with lack of suitable DVT prophylaxis, also good number of chronic patients are lacking precise diagnosis of the nature of their deep venous problems, which both indicate defective overall venous management, not only interventional procedures, in Iraq.
3. It is nice to say for any new medical project to start with easy cases, but this is difficult to achieve in reality, accordingly, we expected the most difficult cases management and we succeeded in management of most of them.
4. Cost of the procedure was great obstacle, which prohibited many other patients from treatment.