Key result
FlowTriever mechanical thrombectomy successfully clears extensive IVC and iliofemoral thrombus without thrombolytics.
Case Report (n=1)
No
Mechanical aspiration thrombectomy with the Inari FlowTriever may offer an effective, less invasive alternative for managing extensive IVC filter thrombosis without requiring fibrinolytics or an ICU stay.
May support mechanical thrombectomy for refractory IVC thrombosis without fibrinolytics; hypothesis-generating case report requiring prospective validation.
Inferior vena cava (IVC) thrombosis, a rare complication of IVC filter insertion, is usually managed with anticoagulation, often insufficient for extensive thrombus. Surgical thrombectomy, effective but invasive, is less favored. Endovascular options like the Inari FlowTriever system are rising in popularity for their mechanical thrombectomy capability without requiring fibrinolytics or ICU admission.
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Erdem et al. (2025) conducted a case report in Inferior vena cava (IVC) filter thrombosis with pulmonary embolism and deep vein thrombosis (n=1). Mechanical thrombectomy using the Inari FlowTriever System was evaluated on Resolution of thrombus and procedural complications. Mechanical thrombectomy using the Inari FlowTriever System successfully resolved extensive IVC and iliofemoral thrombus without the need for fibrinolytic therapy or ICU admission in a patient who failed initial anticoagulation.
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