Related Experiment Video
Updated: Sep 28, 2025

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
Multimodal thrombectomy device for treatment of acute deep venous thrombosis
Usama Ismail1, Roger A Rowe1, John Cashin2
1Caeli Vascular, Inc., St. Louis, USA.
Insights
A novel thrombectomy device sequesters deep vein thrombosis (DVT) during treatment, reducing clot embolization and preserving vein diameter. This approach shows promise for treating large-volume DVTs safely and effectively.
Area of Science:
- Vascular Surgery
- Medical Device Innovation
- Thrombosis Research
Background:
- Deep vein thrombosis (DVT) is a serious condition involving blood clots in deep veins, posing risks of pulmonary embolism (PE) and death.
- Current DVT treatments have limitations in effectiveness and safety due to the inability to isolate the treatment area.
- Thousands of Americans are affected annually by DVT, incurring significant treatment costs.
Purpose of the Study:
- To develop and evaluate a novel thrombectomy device designed for sequestering deep vein thrombosis (DVT) during fragmentation and evacuation.
- To assess the safety and efficacy of this sequestered approach compared to existing thrombectomy methods.
Main Methods:
- A novel thrombectomy device was engineered to create a defined, sequestered treatment zone for DVT.
- Ex vivo thrombectomy procedures were performed using the novel device and a predicate device for comparison.
- Key outcomes measured included distal DVT embolization and impact on vein wall diameter during isovolumetric infusion and suction.
Main Results:
- The sequestered thrombectomy approach significantly reduced distal DVT embolization compared to the predicate device.
- Isovolumetric infusion and suction facilitated effective clearance of the sequestered treatment zone.
- The novel device maintained vein wall diameter without significant adverse impact during the procedure.
Conclusions:
- The novel sequestered thrombectomy device demonstrates potential for improved safety and efficacy in DVT treatment.
- This approach offers a promising solution for managing high-risk, large-volume deep vein thromboses.
- Further investigation into this innovative therapeutic strategy is warranted.
Abstract:
Deep vein thrombosis (DVT) is a potentially deadly medical condition that is costly to treat and impacts thousands of Americans every year. DVT is characterized by the formation of blood clots within the deep venous system of the body. If a DVT dislodges it can lead to venous thromboembolism (VTE) and pulmonary embolism (PE), both of which can lead to significant morbidity or death. Current treatment options for DVT are limited in both effectiveness and safety, in part because the treatment of the DVT cannot be confined to a defined sequestered treatment zone. We therefore developed and tested a novel thrombectomy device that enables the sequesteration of a DVT to a defined treatment zone during fragmentation and evacuation. We observed that, compared to a predicate thrombectomy device, the sequestered approach reduced distal DVT embolization during ex vivo thrombectomy. The sequestered approach also facilitated isovolumetric infusion and suction that enabled clearance of the sequestered treatment zone without significantly impacting vein wall diameter. Results suggest that our novel device using sequestered therapy holds promise for the treatment of high risk large-volume DVTs.
Related Concept Videos
Venous Thrombosis III: Interprofessional Care
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Venous Thrombosis I: Introduction
Venous Thrombosis IV: Nursing Management
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

