Evidence map›Paper›PMID 37580422›Full record

ArticleCardiovascular and interventional radiology2023

Six-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry.

Abdullah Shaikh, Adam Zybulewski, Joseph Paulisin, Mohannad Bisharat, Nicolas J Mouawad, Adam Raskin, Eugene Ichinose, Steven Abramowitz, Jonathan Lindquist, Ezana Azene and 16 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Cardiovascular and interventional radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03575364 completednot on this map

ClotTriever Outcomes (CLOUT) Registry

Typeobservational_patient_registrySponsorInari MedicalRan2018 to 2024Enrolled499ConditionsDeep Vein Thrombosis Leg, DVT, Chronic DVT of Lower Extremity, Acute DVT of Lower ExtremityArmsClotTriever
NCT06288906 recruitingnot on this mapstarted 2025, after this paper: background citation

Acute and Subacute Iliofemoral and/or Caval Deep Vein Thrombosis: Evaluation of Mechanical Thrombectomy Systems in a Monocentric, Observational Retrospective and Prospective Study (ASTER Study)

TypeobservationalSponsorIRCCS San RaffaeleRan2025 to 2027Enrolled50ConditionsThrombosis, VenousArmsmechanical thrombectomy of caval and iliofemoral veins
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Successful ClotTriever thrombectomy in extensive inferior vena cava and bilateral iliac vein thrombosis with pulmonary embolism.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025
    Article
  11. Review
  12. Iatrogenic arteriovenous fistula after endovenous mechanical thrombectomy.Journal of vascular surgery cases and innovative techniques · 2024
    Article
  13. Efficacy and Safety of Direct Oral Anticoagulants After Mechanical Thrombectomy in Venous Thromboembolism: A Comparative Study of 55 Patients.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  14. Article
  15. Comparative Effectiveness of Thrombectomy Devices in Deep Vein Thrombosis: A Step Forward.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  16. One-Year Clinical Outcomes Following Mechanical Thrombectomy for Deep Vein Thrombosis: A CLOUT Registry Analysis.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 20 institutions in 1 country.

Abdullah ShaikhAllegheny Health Network Research Institute, 4 Allegheny Square East, Pittsburgh, PA, 15212, USA. Abdullah.shaikh@gmail.com.
Adam ZybulewskiMount Sinai Medical Center of Florida, Miami, FL, USA.
Joseph PaulisinAscension Genesys Hospital, Grand Blanc, MI, USA.
Mohannad BisharatHCA Florida Memorial Hospital, Jacksonville, FL, USA.
Nicolas J MouawadMcLaren Health System, Bay City, MI, USA.
Adam RaskinMercy Health - The Heart Institute, Cincinnati, OH, USA.
Eugene IchinoseOklahoma Heart Institute, Tulsa, OK, USA.
Steven AbramowitzMedStar Health Research Institution, Washington, DC, USA.
Jonathan LindquistUniversity of Colorado, Denver, CO, USA.
Ezana AzeneGundersen Health, La Crosse, WI, USA.
Neil ShahAurora St. Luke's Medical Center, Milwaukee, WI, USA.
James NguyenManatee Memorial Hospital, Bradenton, FL, USA.
Josh CockrellAlabama Clinical Therapeutics, Birmingham, AL, USA.
Bhavraj KhalsaHeart and Vascular Center, Providence St. Joseph Hospital, Orange, CA, USA.
Vipul KhetarpaulWashington University, St. Louis, MO, USA.
Douglas A MurreyInland Imaging at Providence Sacred Heart Medical Center, Spokane, WA, USA.
Kalyan VeerinaOpelousas General, Opelousas, LA, USA.
Edvard SkripochnikColumbia University Irving Medical Center, New York, NY, USA.
Thomas S MaldonadoNYU Langone Medical Center, New York, NY, USA.
Matthew C BunteSaint Luke's Mid-America Heart Institute, Kansas City, MO, USA.
Suman AnnambhotlaLongstreet Clinic, Gainesville, GA, USA.
Jonathan SchorNorthwell Health, Staten Island University Hospital, Staten Island, NY, USA.
Herman KadoWilliam Beaumont Hospital, Royal Oak, MI, USA.
Hamid MojibianYale School of Medicine, New Haven, CT, USA.
David DexterSentara Vascular Specialists, Norfolk, VA, USA.
CLOUT Investigators
Alabama Clincal Therapeutics · USAllegheny Health Network · USAurora St. Luke's Medical Center · USBeaumont Hospital, Royal Oak · USColumbia University Irving Medical Center · USGenesys (United States) · USGundersen Health System · USJackson Memorial Hospital · USMcLaren Health Care · USMedStar Health · USMercy Health · USMount Sinai Medical Center · USNorthwell Health · USNYU Langone Health · USOklahoma Heart Institute · USProvidence College · USProvidence Sacred Heart Medical Center · USSaint Luke's Hospital · USState College of Florida Manatee-Sarasota · USUniversity of Colorado Denver · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

purposeMechanical thrombectomy for the treatment of deep vein thrombosis (DVT) is being increasingly utilized to reduce symptoms and prevent postthrombotic syndrome (PTS), but more data on clinical outcomes are needed. Mechanical thrombectomy was studied in the ClotTriever Outcomes (CLOUT) registry with 6-month full analysis outcomes reported herein. MATERIALS AND

methodsThe CLOUT registry is a prospective, all-comer study that enrolled 500 lower extremity DVT patients across 43 US sites treated with mechanical thrombectomy using the ClotTriever System. Core-lab assessed Marder scores and physician-assessed venous patency by duplex ultrasound, PTS assessment using Villalta score, venous symptom severity, pain, and quality of life scores through 6 months were analyzed. Adverse events were identified and independently adjudicated.

resultsAll-cause mortality at 30 days was 0.9%, and 8.6% of subjects experienced a serious adverse event (SAE) within the first 30 days, 1 of which (0.2%) was device related. SAE rethrombosis/residual thrombus incidence was 4.8% at 30 days and 8.0% at 6 months. Between baseline and 6 months, venous flow increased from 27.2% to 92.5% of limbs (P < 0.0001), and venous compressibility improved from 28.0% to 91.8% (P < 0.0001), while median Villalta scores improved from 9.0 at baseline to 1.0 at 6 months (P < 0.0001). Significant improvements in venous symptom severity, pain, and quality of life were also demonstrated. Outcomes from iliofemoral and isolated femoral-popliteal segments showed similar improvements.

conclusionOutcomes from the CLOUT study, a large prospective registry for DVT, indicate that mechanical thrombectomy is safe and demonstrates significant improvement in symptoms and health status through 6 months. Level of Evidence 3: Non-randomized controlled cohort/follow-up study.

Indexed as

Postthrombotic SyndromeVenous ThrombosisFemoral VeinFollow-Up StudiesHumansIliac VeinQuality of LifeThrombectomyThrombolytic TherapyTreatment OutcomeVascular PatencyDeep vein thrombosisMechanical thrombectomyPostthrombotic syndrome

Identifiers

PMID37580422
PMCPMC10615929
OpenAlexW4385803135

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.