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Protrieve Sheath for Embolic Protection in Percutaneous Thrombectomy: A Systematic Review.

Som P Singh¹, Aarya Ramprasad¹, David S Shin²

¹McGovern Medical School, University of Texas Health Sciences Center at Houston, Houston, TX.

Annals of Vascular Surgery

|March 27, 2026

Summary

This summary is machine-generated.

The Protrieve Sheath demonstrates safety and effectiveness in preventing embolic events during percutaneous venous thrombectomy. This systematic review found no significant peri-procedural complications in 93 patients undergoing thrombectomy.

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Area of Science:

Vascular Surgery
Interventional Cardiology
Medical Device Technology

Background:

Venous thromboembolism is a known risk of percutaneous venous thrombectomy.
The Protrieve Sheath is FDA-approved for embolic protection during these procedures.
Limited evidence currently exists on its efficacy.

Purpose of the Study:

To evaluate the efficacy of the Protrieve Sheath for embolic protection.
To assess safety and adverse events during percutaneous venous thrombectomy.

Main Methods:

Systematic literature review of 12 studies.
Inclusion of 93 patients undergoing percutaneous venous thrombectomy.
Data extraction on patient demographics, venous segments, procedures, and embolic events.

Main Results:

Most thrombus locations were in the IVC or lower extremities.
Mechanical thrombectomy was the primary intervention, with IVC filter removal and angioplasty also performed.
No significant embolic or adverse events were reported in most cases.

Conclusions:

The Protrieve Sheath is a safe and effective embolic protection device.
It shows promise in reducing complications during venous thrombectomy procedures.