Abstract
The first thrombectomy (TE) of an acute iliofemoral venous thrombosis was reported by Läwen from Königberg, Germany in 1937.1 The treatment of acute deep vein thrombosis (DVT) in Europe at this time was dominated by the philosophy of the French pioneer René Leriche, where resection of a thrombosed segment of the vein resulted in sympathectomy and release of vasoconstriction with improved circulation. Läwen described two cases where he used his “Thrombenkratzer” to remove the thrombus. He concluded that TE served three purposes: release of the arterial spasm, prevention of pulmonary embolism, and release of peripheral stasis and swelling.
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