{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T12:00:30Z","timestamp":1774267230019,"version":"3.50.1"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract This report presents the first documented case in North Brazil of percutaneous mechanical thrombectomy (PMT) performed in a young patient with extensive iliofemoral-popliteal deep vein thrombosis (DVT). The patient presented with pain and significant swelling of the left lower limb, with ultrasonographic evidence of extensive DVT. The ClotTriever\u00ae system was employed via a popliteal approach, combined with adjunctive embolectomy using a Fogarty catheter. The procedure was uneventful and led to rapid clinical recovery. At 14 months of follow-up, the patient was asymptomatic, and venous Doppler ultrasonography findings were normal. PMT proved to be safe, effective, and feasible as an innovative therapeutic option in a regional setting. This case underscores the technique\u2019s potential role as a promising alternative for treatment of extensive DVT, particularly in centers outside major urban areas.<\/jats:p>","DOI":"10.1590\/1677-5449.202501162","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T11:05:23Z","timestamp":1774263923000},"source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous mechanical thrombectomy in a patient with extensive deep vein thrombosis: pioneering surgery in the northern region"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0530-696X","authenticated-orcid":false,"given":"Gabriel da Silva","family":"Nunes","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6482-5878","authenticated-orcid":false,"given":"Rayssa dos 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Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2415-7737","authenticated-orcid":false,"given":"Jo\u00e3o da","family":"Silva Junior","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3035-6123","authenticated-orcid":false,"given":"William","family":"Wakasugui","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9091-0224","authenticated-orcid":false,"given":"Vinicius Tadeu Ramos da Silva","family":"Grillo","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil; Instituto Vascular e Endovascular de Rond\u00f4nia,  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