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Updated: Feb 13, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Advances in Operative Thrombectomy for Lower Extremity Venous Thrombosis
Matthew C Koopmann1, Robert B McLafferty1
1Department of Surgery, Veterans Affairs Portland Health Care System, Oregon Health & Sciences University, 3710 Southwest US Veterans Hospital Road, P3-OC, Portland, OR 97239, USA.
Abstract:
Lower extremity deep venous thrombosis is a leading cause of morbidity and mortality. The mainstay of therapy is medical. However, anticoagulation does not remove the thrombus and restore venous patency. In select patients, early thrombus removal and anticoagulation can restore venous patency, preserve venous valve function, and may reduce the incidence of postthrombotic syndrome. Catheter-directed therapies are minimally invasive with low complication rates. However, in patients with a contraindication to thrombolytic agents who can receive anticoagulation, open thrombectomy should be considered if indications for thrombus removal are met and patients are good operative risks.
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