What are the benefits of percutaneous mechanical thrombectomy?

Updated: Dec 10, 2019
  • Author: Donald Schreiber, MD, CM; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Although the literature lacks conclusive evidence, some data support the argument that DVT treated with anticoagulation results in a high risk of PTS 5-10 years later. Active removal of the thrombus with surgery or catheter-directed lysis clears the thrombus relatively quickly and improves preservation of valvular function while reducing the incidence and severity of PTS. However, systemic or catheter-directed pharmacologic thrombolysis entails a high risk of bleeding complications. Initial data suggest that combination therapy that includes percutaneous mechanical thrombectomy, which allows a reduction in the dose and duration of thrombolytic treatment, may achieve thrombus clearance and reduce the incidence of PTS without elevating the bleeding risk.

For more information, see Deep Venous Thrombosis.


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