Treating Chronic Venous Disease With a Modified Gun-Sight Technique
Femoral Vein Reconstruction: A Complicated Case Example
Femoral Vein Reconstruction: A Complicated Case Example
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Matthew A. Tiede, MD
University of Michigan Health-West, Wyoming, Michigan
Disclosure: Dr. Tiede reports he is a member of the speaker bureau and/or provides consultant services to Becton, Dickinson, and Company; Penumbra Inc.; Boston Scientific Corp.; and WCG Clinical Inc.
Dr. Matthew Tiede can be contacted at
mtiede13@gmail.com.
Reprinted with permission from Vascular Disease Management 2025;22(12):E102-E109.
Abstract
Chronic venous disease is associated with significant patient morbidity, and not all cases are easily managed with traditional techniques. We report a case of common femoral vein occlusion in a patient with Klippel-Trénaunay syndrome. Successful reconstruction of the patient’s common femoral vein was made possible using the gun-sight technique, originally developed by Haskel et al for intrahepatic interventions. This case highlights the adaptability of endovascular methods and underscores the role of interventional radiology in providing novel therapeutic options for patients previously without hope.
Continue reading Dr. Tiede’s case on Vascular Disease Management
Dr. Tiede describes using a modified gun-sight recanalization approach to reconstruct an absent/occluded common femoral vein in a patient with severe chronic venous disease. A step-by-step discussion of the gun-sight technique is available in the Appendix.
