Trombectomia mecânica percutânea em paciente com trombose venosa profunda extensa: cirurgia pioneira na região norte
Percutaneous mechanical thrombectomy in a patient with extensive deep vein thrombosis: pioneering surgery in the northern region
Gabriel da Silva Nunes; Rayssa dos Anjos Cabral; Andressa Pereira de Souza; Leonardo Pappis Orso; Nelson Ogliari Rezende; João da Silva Junior; William Wakasugui; Vinicius Tadeu Ramos da Silva Grillo
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Abstract
This report presents the first documented case in North Brazil of percutaneous mechanical thrombectomy (PMT) performed in a young patient with extensive iliofemoral-popliteal deep vein thrombosis (DVT). The patient presented with pain and significant swelling of the left lower limb, with ultrasonographic evidence of extensive DVT. The ClotTriever® system was employed via a popliteal approach, combined with adjunctive embolectomy using a Fogarty catheter. The procedure was uneventful and led to rapid clinical recovery. At 14 months of follow-up, the patient was asymptomatic, and venous Doppler ultrasonography findings were normal. PMT proved to be safe, effective, and feasible as an innovative therapeutic option in a regional setting. This case underscores the technique’s potential role as a promising alternative for treatment of extensive DVT, particularly in centers outside major urban areas.
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References
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Submitted date:
08/05/2025
Accepted date:
12/17/2025
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