{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T21:54:59Z","timestamp":1781906099766,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report a single-center experience using the Lightning 12 and Lightning Flash 16 computer-assisted vacuum thrombectomy (CAVT) Indigo System devices for acute proximal lower extremity deep vein thrombosis (DVT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted of all consecutive patients treated with CAVT for acute (&lt;14\u00a0days) proximal lower extremity DVT between January 2023 and September 2024 at academic single center. The primary outcome was technical success, defined as &gt;70% thrombus removal on final completion venography, assessed by at least two different operators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-four patients (median age 55.5\u00a0years; 58.3% female) with 29 affected limbs were included. Classical May-Thurner syndrome was present in 37.5%. Thrombosis involved the left iliofemoral segment in 44.8%, right iliofemoral in 31.0%, isolated common iliac vein in 6.8%, and inferior vena cava extension in 17.2%. Devices used included Lightning 12 (25.0%) and Lightning Flash 16 (75.0%). Iliac vein stents were placed in 82.8% of limbs. Median operative time was 120\u00a0min, blood loss 750 cc, and hospital stay 2\u00a0days. No intraoperative complications occurred. Two non-procedure-related deaths occurred within 30\u00a0days. Median follow-up was 9\u00a0months; three additional late deaths were unrelated to the procedure. The median Villalta score was 1, and VCSS was 1. No significant outcome differences were observed between the two device types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CAVT Indigo System appears to be a safe and effective treatment option for acute proximal lower extremity DVT, demonstrating high technical success and low complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555251404147","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T18:03:31Z","timestamp":1764180211000},"page":"515-523","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Computer-assisted vacuum thrombectomy using lightning 12 and lightning flash 16 in acute proximal lower extremity deep vein thrombosis"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5101-1541","authenticated-orcid":false,"given":"Mauricio","family":"Gonzalez-Urquijo","sequence":"first","affiliation":[{"name":"Tecnologico de Monterrey, School of Medicine and Health Sciences"},{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3158-5411","authenticated-orcid":false,"given":"Jose Francisco","family":"Vargas","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leopoldo","family":"Marine","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Bergoeing","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Sepulveda","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-4769","authenticated-orcid":false,"given":"Francisco","family":"Valdes","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.11.017"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2024.101825"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-009-0309-3"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2022.10.038"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-023-03509-8"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.018973"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(15)00248-3"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.037425"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1615066"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000779"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2021.11.002"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2024.08.023"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsurg.2021.100012"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.04.007"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.09.015"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355517711792"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2024.04.028"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-0925-y"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.12.011"},{"issue":"3","key":"e_1_3_7_21_2","first-page":"251","article-title":"US-accelerated catheter-directed thrombolysis for the treatment of deep venous thrombosis","volume":"19","author":"Dumantepe M","year":"2013","unstructured":"Dumantepe M, Tarhan A, Yurdakul I, et al. 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