{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:03:54Z","timestamp":1789448634016,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T00:00:00Z","timestamp":1770422400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100019398","name":"Beijing Friendship Hospital, Capital Medical University","doi-asserted-by":"publisher","award":["YYZZ202205"],"award-info":[{"award-number":["YYZZ202205"]}],"id":[{"id":"10.13039\/501100019398","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite anticoagulation, 50% of proximal deep vein thrombosis (DVT) cases progress to post-thrombotic syndrome (PTS). While percutaneous mechanical thrombectomy (PMT) reduces thrombotic burden, optimal venous access selection (popliteal vs infrapopliteal) remains unestablished. This study compares long-term outcomes between these approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort of 56 acute DVT patients (28 per group) underwent propensity score matching for age, sex, symptom duration, and thrombus extent. All received PMT via either infrapopliteal access or popliteal access at a tertiary center (2021-2024). Primary outcomes included PTS incidence and access site complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Popliteal access demonstrated shorter establishment time (15 vs 22.5 min, p &lt; .01), while infrapopliteal access preferentially utilized the peroneal vein (69.2%). No intraoperative complications; minor postoperative events occurred in 5.4% (3\/56) without intergroup difference. 48 patients (85.7%) completed ultrasound surveillance (mean follow-up: 21.4 \u00b1 12.4 months). PTS rates were significantly lower with infrapopliteal access (12.5% vs 41.7%, p = .023), with a markedly lower incidence of moderate-to-severe PTS (Villalta \u226510) in the infrapopliteal group (4.2% vs 25.0%, p = .097). These benefits were observed despite comparable residual thrombosis (70.8% overall) and DVT recurrence (12.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Infrapopliteal PMT, with selective adjunct CDT, is associated with a lower risk of PTS compared to popliteal access, likely due to more complete distal thrombus clearance. Despite longer access times, this approach demonstrates favorable long-term outcomes and represents a viable alternative for DVT management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555261425286","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T11:36:51Z","timestamp":1770464211000},"page":"780-786","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Long-term outcomes of infrapopliteal versus popliteal venous access for percutaneous mechanical thrombectomy in acute deep vein thrombosis: A propensity score-matched retrospective cohort study"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0560-3292","authenticated-orcid":false,"given":"Wenrui","family":"Li","sequence":"first","affiliation":[{"name":"Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saisai","family":"Cao","sequence":"additional","affiliation":[{"name":"Peking University People\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Liu","sequence":"additional","affiliation":[{"name":"Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai","family":"Feng","sequence":"additional","affiliation":[{"name":"Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,7]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001145"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.17272"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2024.109057"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2016.1.413"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10760296211005548"},{"issue":"2","key":"e_1_3_5_7_2","first-page":"310","article-title":"Catheter-directed thrombolysis of acute entire limb deep vein thrombosis from below the knee access: a retrospective analysis of a single-center experience","volume":"91","author":"Liu G","year":"2018","unstructured":"Liu G, Liu X, Wang R, et al. Catheter-directed thrombolysis of acute entire limb deep vein thrombosis from below the knee access: a retrospective analysis of a single-center experience. Catheter Cardiovasc Interv 2018; 91(2): 310\u2013317. https:\/\/doi.org\/10.1002\/ccd.27118","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.01.064"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.04.013"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.oa.24-00015"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70195-8"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-12-200212170-00008"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.03.023"},{"key":"e_1_3_5_14_2","first-page":"170853812412745","article-title":"A systematic review and meta-analysis of the relative safety and efficacy of treating lower extremity deep vein thrombosis via pharmacomechanical thrombectomy and catheter-directed thrombolysis","volume":"33","author":"Tian Z","year":"2024","unstructured":"Tian Z, Han H, Sun P, et al. A systematic review and meta-analysis of the relative safety and efficacy of treating lower extremity deep vein thrombosis via pharmacomechanical thrombectomy and catheter-directed thrombolysis. 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