Abstract
Mechanical removal of clots in patients with pulmonary embolism and deep venous thrombosis is an attractive alternative to pharmacological treatment or catheter-directed lytic infusion. The most effective mechanical thrombectomy devices have large calibers and require large size venous puncture. The size of venotomy have been a limiting factor for more widespread use of these devices. Almost all of these patients are also on anticoagulation that potentially increases the chance of bleeding and procedural complications.
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