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Virtual Pediatric Hospital: Paediapaedia: Lower Extremity Venogram Paediapaedia: Cardiovascular Procedure Descriptions

Lower Extremity Venogram

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Patient Preparation:
None

Contrast:
Omnipaque

Technique:
Wrap foot and ankle in tight Ace Bandage for 1 hour
Stand patient up
Tourniquet around ankle and keep it on ankle while injecting
Stick with large (21G and up) needle
Inject 100 cc nonionic contrast and then keep needle flushed with normal saline
to decrease rate of thrombophlebitis
Take AP, LAO, RAO views of calf/knee/thigh with patient standing and tourniquet on
Lay patient down (45 degrees or less) and pop tourniquet and get shot of iliacs and IVC

Views to Take:
Not applicable

References:
See References Chapter.

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