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Updated: Feb 26, 2026

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Published on: August 8, 2025
Perforator Vein Access for Venous Pharmacomechanical Thrombolysis
Afsha Aurshina1, Arkady Ganelin1, Anil Hingorani1
1Department of Vascular Surgery, Vascular Institute of New York, Brooklyn, NY.
Abstract:
A 28-year-old Hispanic female with a history of deep vein thrombosis (DVT) presented to the emergency room with left lower extremity swelling and pain. On duplex venous examination, an extensive left lower extremity DVT extending to her left common iliac vein was identified. A perforator vein measuring 2.6 mm located in the midcalf area was used to access and perform mechanical and chemical thrombolysis. Complete resolution of symptoms was observed.
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