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RevCore thrombectomy device effectively restores venous stent patency by treating iliofemoral caval in-stent

Taimur Saleem1, Seshadri Raju1

  • 1The RANE Center for Venous and Lymphatic Diseases, Jackson, MS.

Journal of Vascular Surgery Cases and Innovative Techniques
|August 12, 2025
PubMed

Insights

The RevCore mechanical thrombectomy device effectively treated symptomatic in-stent restenosis in iliofemoral venous stents. This minimally invasive procedure showed high success rates with rapid patient recovery and minimal complications.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Devices

Background:

  • Symptomatic in-stent restenosis (ISR) in iliofemoral caval venous stents poses a significant clinical challenge.
  • Accurate differentiation between ISR and stent compression is crucial for effective treatment planning.

Purpose of the Study:

  • To describe the experience and outcomes of using the RevCore mechanical thrombectomy device for treating symptomatic ISR in iliofemoral caval venous stents.
  • To evaluate the safety and efficacy of the RevCore device in this patient cohort.

Main Methods:

  • A series of 40 patients with symptomatic ISR in iliofemoral caval venous stents were treated with the RevCore device.
  • Preoperative computed tomography venography was used to distinguish ISR from stent compression.
  • Intravascular ultrasound was utilized for procedural assessment of ISR resolution.

Main Results:

  • All 40 patients achieved ≥50% ISR resolution post-procedure.
  • Complete symptom resolution was observed in all patients.
  • The procedure was minimally invasive with low blood loss (<10 mL) and short operative time (<30 minutes).
  • No perioperative pulmonary embolism occurred, and only one patient (2.5%) required reintervention during follow-up (2-24 months).

Conclusions:

  • The RevCore mechanical thrombectomy device is a safe and effective option for treating symptomatic ISR in iliofemoral caval venous stents.
  • The device facilitates a minimally invasive approach with excellent clinical outcomes and a low reintervention rate.

Keywords:
Chronic thrombusIVUSIntravascular ultrasoundRevCore mechanical thrombectomy deviceVenography

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