Table 2

Comparison of Endovascular Treatment Modalities for Patients With IVC Thrombosis

Device/Treatment MethodAccessTreatment LengthAdvantagesDisadvantages
Infusion catheters CDT4-F, 5-F5–50 cmSimple, low profile
Inexpensive
Multiple treatment session needed
EKOS
Ultrasound-enhanced CDT
6-F6–50 cmSimple, low profile
Shorter thrombolysis duration
Multiple treatment session needed
Expensive, limited data
Trellis
PMCT
6-F, 8-F10–30 cmSingle-session treatment
Isolation of the thrombus
Shorter treatment lengths
AngioJet rheolytic catheter
PMCT
6-F, 7-FFlexibleUser friendly
Could prevent distal embolization
Single session rarely sufficient
Could lead to proximal embolization
AngioVac
Aspiration thrombectomy
17-F & 22-FFlexibleUseful in large clot burden
Can be used without thrombolytic agents
Large bore, 2 access sites needed
Limited data and experience
General anesthesia may be necessary

Abbreviations as in Table 1.