AVF Confluence: Flash 2.0 DVT and PE Thrombectomy Cases

Single-Session Thrombectomy Clears Complex Iliocaval DVT

Operators used a select catheter through the 16 French flash system to selectively treat thrombosed profunda femoris veins, cleared iliocaval thrombosis in patients with indwelling filters, and used IVUS guided stenting for chronic post-thrombotic obstruction after clearing acute inflow.

STRIKE-PE Registry: RV Function and Quality of Life Gains

An early cohort of 42 patients showed RV/LV ratio falling from 1.26 to 0.9 and significant reduction in systolic pulmonary artery pressure, with a 150 patient interim analysis confirming sustained quality of life gains at 90 days and low major adverse event rates.

Technique Pearls: Access Site Selection and Filter Decisions

Presenters favor posterior tibial or popliteal access only when the vein measures at least six millimeters, protect the common femoral as a unitary outflow, and weigh removing versus leaving retrievable filters based on anticoagulation compliance and clot freshness.

Clinical Pearls: Staging Decisions and Anticoagulation Duration

Panelists stage when persistent collateral filling signals inadequate inflow, favor low molecular weight heparin transitioning to apixaban, and tailor anticoagulation duration by whether the DVT was provoked, unprovoked, or recurrent.