What does this research mean for the field?

VenaCore-assisted lytic-free thrombectomy combined with IVUS-guided selective stenting is a feasible and effective treatment for organized venous obstruction in chronic iliofemoral deep vein thrombosis. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess the feasibility and effectiveness of VenaCore-assisted thrombectomy in chronic iliofemoral DVT.

May 17, 2026Open Access

Initial experience using VenaCore Catheter for chronic DVT patient

Key Points

To assess the feasibility and effectiveness of VenaCore-assisted thrombectomy in chronic iliofemoral DVT.
Lytic-free thrombectomy performed using VenaCore and ClotTriever extraction.
Popliteal access was utilized with balloon angioplasty and IVUS-guided sizing for selective stenting.
Completion venography and IVUS assessed the outcome post-procedure.
Completion venography/IVUS showed restored inline flow with less than 30% residual stenosis.
Patient discharged on day 3 with duplex confirming patency at one month.
VCSS improved from 13 to 7 post-procedure.

Abstract

Chronic iliofemoral DVT often contains wall-adherent thrombus poorly responsive to lysis. We report lytic-free thrombectomy using VenaCore. A 45-year-old man with acute-on-chronic right iliofemoral DVT (CEAP C4, VCSS 13) underwent popliteal access, VenaCore plus ClotTriever extraction, balloon angioplasty, IVUS-guided sizing, and selective stenting; simultaneous contrast via a coaxial 4 Fr sheath enhanced capture. Completion venography/IVUS showed restored inline flow with < 30% residual stenosis. He was discharged on day 3; at 1-month, duplex confirmed patency and VCSS improved to 7. VenaCore-assisted thrombectomy with IVUS-guided selective stenting appears feasible and effective for organized venous obstruction.

Initial experience using VenaCore Catheter for chronic DVT patient

Key Points

Abstract

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