ArticleJACC. Case reports2026
Multimodal Thrombectomy for Complex Venous Occlusions and In-Stent Thrombosis.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
backgroundPost-thrombotic syndrome (PTS) is a debilitating complication of deep vein thrombosis, characterized by venous obstructions that impede cephalad flow, elevated venous pressure, and risk of venous ulceration. CASE SUMMARY: A 73-year-old woman with severe PTS presented with multilevel venous occlusions involving the popliteal vein, femoral vein, and common femoral vein, and a thrombosed right external iliac-common femoral vein stent. Given the complex presentation, an endovascular intervention was performed to restore venous patency. The procedure successfully cleared the occlusions and in-stent thrombosis in a single session. The patient's symptoms, including swelling, pain, erythema, and open wound, improved, with patency sustained through 2-year follow-up. DISCUSSION: This case highlights the challenges of managing advanced PTS with multilevel venous obstruction and in-stent thrombosis, conditions associated with significant morbidity. TAKE-HOME MESSAGES: Comprehensive endovascular management can restore venous outflow in complex PTS. Durable outcomes require ongoing surveillance and optimized medical therapy.
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