{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:05:59Z","timestamp":1790172359561,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Upper extremity deep vein thrombosis (UEDVT) has been widely managed with anticoagulation and selectively with catheter directed thrombolysis (CDT) targeting prompt venous recanalization. CDT, however, comes with a bleeding risk and complex perioperative logistics. Percutaneous mechanical thrombectomy (MT) devices may simplify the procedure. However their safety and efficacy remain unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The records of 14 consecutive patients with symptomatic UEDVT who underwent MT at two tertiary European centers were reviewed (2020-2025). Subclavian vein thrombosis was the principal anatomical criterion for inclusion. MT was considered primarily in young, active individuals and athletes and in patients with persistent symptoms despite anticoagulation, with symptom duration not exceeding 3\u00a0weeks. Three different devices were used for MT: The ClotTriever system (Inari Medical, Irvine, CA), the Aspirex Mechanical Aspiration Thrombectomy System (Straub Medical, Wangs, Switzerland) and the Penumbra System (Penumbra Inc, Alameda, California, USA), with or without subsequent first rib resection and venoplasty. Preoperative demographics, intraoperative details, in-hospital and follow up complications, venous patency and symptomatic relief data were collected for descriptive analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Single session MT through basilic or brachial vein access was performed and successfully completed in all 14 patients (mean age 30.57 \u00b1 11.01, 8 males). No major postoperative adverse events were noted and the patients were discharged within 1.7 \u00b1 1.20 days on low molecular weight heparin. One patient experienced 30-day rethrombosis. Among the 14 patients, 6 patients underwent subsequent first rib resection. Patients received full anticoagulation for 3-6\u00a0months. At an average 26.07 \u00b1 13.5\u00a0month follow up, 9 out of 14 patients were completely free of symptoms without UEDVT recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For the management of symptomatic UEDVT, mechanical thrombectomy using current technologies is feasible with high technical and clinical success. Larger series are required to validate our results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555261491465","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:54:46Z","timestamp":1789786486000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mechanical thrombectomy as a safe alternative to catheter directed thrombolysis for upper extremity DVT"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6049-5031","authenticated-orcid":false,"given":"Alexandra","family":"Tsirigoti","sequence":"first","affiliation":[{"name":"Athens Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Baccellieri","sequence":"additional","affiliation":[{"name":"Vita-Salute San Raffaele University"},{"name":"IRCCS San Raffaele Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7661-7419","authenticated-orcid":false,"given":"Ferdinando B. A.","family":"Valente","sequence":"additional","affiliation":[{"name":"Vita-Salute San Raffaele University"},{"name":"IRCCS San Raffaele Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2923-1470","authenticated-orcid":false,"given":"Vincenzo","family":"Ardita","sequence":"additional","affiliation":[{"name":"Vita-Salute San Raffaele University"},{"name":"IRCCS San Raffaele Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios","family":"Bouris","sequence":"additional","affiliation":[{"name":"Athens Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Tzavellas","sequence":"additional","affiliation":[{"name":"Athens Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Papastavrou","sequence":"additional","affiliation":[{"name":"Athens Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthymios D.","family":"Avgerinos","sequence":"additional","affiliation":[{"name":"Athens Medical Center"},{"name":"University of Athens School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000142289.94369.D7"},{"issue":"12","key":"e_1_3_7_3_2","first-page":"e12071","article-title":"Single-session treatment of upper extremity deep venous thrombosis and central venous catheter malfunction using the ClotTriever system","volume":"12","author":"Agarwal S","year":"2020","unstructured":"Agarwal S, Sosnofsky C, Saum J, et al. Single-session treatment of upper extremity deep venous thrombosis and central venous catheter malfunction using the ClotTriever system. Cureus 2020; 12(12): e12071. https:\/\/doi.org\/10.7759\/cureus.12071","journal-title":"Cureus"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.09.023"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2018.12.012"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-009-9655-y"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.01.104"},{"issue":"3","key":"e_1_3_7_8_2","first-page":"101307","article-title":"One-year clinical outcomes following mechanical thrombectomy for deep vein thrombosis: a CLOUT registry analysis","volume":"3","author":"Bisharat MB","year":"2024","unstructured":"Bisharat MB, Ichinose EJ, Veerina KK, et al. One-year clinical outcomes following mechanical thrombectomy for deep vein thrombosis: a CLOUT registry analysis. 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