A 23-year-old woman with a history of DVT presents with complaints of venous claudication. Duplex ultrasonography and magnetic resonance venography both show a post-thrombotic left common iliac vein. Pressures in the dorsal foot vein and common femoral vein of both limbs are measured. What statement below is true?

During walking, pressure in the common femoral vein of the left limb increases considerably.

In the supine position, both pressures in the left limb are circa 25% higher than in the right limb.

In erect position, pressure in the dorsal foot veins is higher than the contralateral limb.

Dorsal foot vein pressure of the left limb is a good parameter in identifying iliofemoral deep venous obstruction in this patient.

During walking, pressure in the common femoral vein of the left limb increases considerably.

How does iliocaval venous obstruction affect microvascular functions?

Venous obstruction causes reduced response to vasodilators

Venous obstruction is associated with increased response to vasodilatation

Endothelial-dependent vasodilatation is normal limits in venous obstruction

Endothelial independent vasodilation is well preserved in patients with venous obstruction

A patient presents with cosmetic complaints of varicose veins in both groin and down the GSV tract. In your physical examination you find a varicose vein crossing the pubic region from one SFJ to the other. What is the appropriate course of action?

D. Imaging of the iliocaval tract

A. Sclero-compression treatment

D. Imaging of the iliocaval tract

Continuing Medical Education Certification Test! Quiz

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Quizzes Created: 5 | Total Attempts: 920

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Continuing Medical Education Certification Test! Quiz - Quiz

PROGRAM OBJECTIVES
This activity is designed for physicians and allied health professionals. This course includes videos and questions from the 2015 Annual Meeting, Allied Health Symposium. Upon completion of this course, you will receive a customized CME certificate.

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DISCLOSURE POLICY
In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. Therefore, it Read moreis mandatory that both the program planning committee and speakers complete disclosure forms. Members of the program committee were required to disclose all financial relationships and speakers were required to disclose any financial relationship as it pertains to the content of the presentations. The ACCME defines a ‘commercial interest’ as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients”. It does not consider providers of clinical service directly to patients to be commercial interests. The ACCME considers “relevant” financial relationships as financial transactions (in any amount) that may create a conflict of interest and occur within the 12 months preceding the time that the individual is being asked to assume a role controlling content of the educational activity.
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the session.

Questions and Answers

Continuing Medical Education Certification Test! Quiz

Hemodynamic Consequences of Deep Venous Obstructive Disease

Nonthrombotic Venous Obstructions Cause Pelvic Congestion Syndrome

Endovascular Recanalization of the Non-Malignant Chronically Occluded Inferior Vena Cava

Effects of Venous Stent Placement on Cutaneous Microvascular Function in Iliocaval Venous Obstruction

The Short term Outcomes of Neovalve Deep Venous Reconstructive Surgery

Reintervention in Patients Undergoing Ilio-femoral Venous Stenting

Randomized Double-blinded Study Comparing Clinical Versus Endovascular Treatment of Iliac Vein Obstruction

The Diagnostic Value of the Pubic Collateral in Deep Venous Obstructive Disease

If you are an ACS member, what is your member number?

Please explain any specific instance(s) of bias or conflict of interest:

Additional Comments

Are you an ACS member?

Overall, how would you rate this educational activity?

Program topics and content met the stated objectives

Content was relevant to my educational needs

Program was fair, objective, and unbiased toward any product or program

What percentage of patients have symptom resolution after IVC recanalization?

How does iliocaval venous obstruction affect microvascular functions?

A 69 year old man who had been diagnosed DVT in the past, has a skin pigmentation and an ulcer on his left lower limb. He reports a heaviness and a swelling on his left leg. Which of the following would be the most useful initial diagnostic study?

A 35 year old woman presents with isolated left lower extremity DVT. MRV suggests external compression of the left common iliac vein. What is the best way of evaluating the severity and morphology of this suspected lesion?

Patient with CEAP C4 and IVUS Iliac vein obstruction > 50%. What would be the best treatment option?

A patient presents with cosmetic complaints of varicose veins in both groin and down the GSV tract. In your physical examination you find a varicose vein crossing the pubic region from one SFJ to the other. What is the appropriate course of action?

Educational format was conducive to learning

How Many CME Category 1 Credits are you claiming?