Procedure done under sterile technique.
Local and general anesthesia was used.
Fluoroscopy and U/S guidence was used.
5 access sites using 21g and 22g spinal needles. 20 g cannula placed in posterior tibial vein for saline flush and venograms.
total of 20cc of 3% STS foam was used with good distribution on U/S.
Final venogram showed patent deep venous system.
No immediate complications.
Plan.
Do not apply any adhesive dressing on puncture sites.
VS and peripheral pulses Q30 min for 3 h
Check site for bleeding, swelling, blistering with vitals for 3 h (elevate leg if excessive swelling)
Discharge in 3 h when fully awake and stable.
F/U in clinic in 4 weeks.
Flouro time: 01:10 min
DAP: 1.706 Gycm2
Total contrast: 10 ml
Blood loss: less then 5 ml
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