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This case describes the diagnostic and technical challenges in the care of a complex patient with post-thrombotic syndrome following stroke and extensive deep vein thrombosis. It highlights the multi-disciplinary work-up for a patient with post-thrombotic syndrome presenting with confounding symptoms, as well as the importance of considering alternative access for successful lower extremity venous recanalization.<\/jats:p>","DOI":"10.1177\/1538574421995020","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T04:51:10Z","timestamp":1612932670000},"page":"515-518","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Diagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9318-0335","authenticated-orcid":false,"given":"Shin Mei","family":"Chan","sequence":"first","affiliation":[{"name":"Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred","family":"Lee","sequence":"additional","affiliation":[{"name":"Section of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhaskar","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassius Iyad Ochoa","family":"Chaar","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"key":"bibr1-1538574421995020","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp060388"},{"key":"bibr2-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2016.1.413"},{"key":"bibr3-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.06.046"},{"key":"bibr4-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.11.084"},{"key":"bibr5-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61902-9"},{"key":"bibr6-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000508"},{"key":"bibr7-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61753-4"},{"key":"bibr8-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.002772"},{"key":"bibr9-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.08.015"},{"key":"bibr10-1538574421995020","doi-asserted-by":"publisher","DOI":"10.21037\/qims.2016.07.07"},{"key":"bibr11-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X16650747"},{"key":"bibr12-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.01.061"},{"key":"bibr13-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.03.014"},{"key":"bibr14-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.02.031"},{"key":"bibr15-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1583\/09-2719.1"},{"key":"bibr16-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.06.012"},{"key":"bibr17-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(96)00083-9"},{"key":"bibr18-1538574421995020","doi-asserted-by":"publisher","DOI":"10.1177\/0148607190014002152"},{"key":"bibr19-1538574421995020","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.915724"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574421995020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1538574421995020","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574421995020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:32:40Z","timestamp":1777703560000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574421995020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,10]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/1538574421995020"],"URL":"https:\/\/doi.org\/10.1177\/1538574421995020","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,10]]}}}