Treatment

DVT Thrombectomy

Discover how mechanical thrombectomy offers rapid, minimally invasive blood clot removal for deep vein thrombosis (DVT). Learn from a triple-board certified vascular specialist in Singapore about procedure steps, safety, and recovery options.

Close-up of a vascular stent retriever used during a thrombectomy procedure, showing extracted blood clot material held by gloved surgical hands

retrieved vascular stent with thrombus following successful thrombectomy

Breakthrough Relief for DVT: How Mechanical Thrombectomy Removes Clots and Restores Leg Health

When Jean, a 45-year-old office executive, walked into the emergency department complaining of sudden leg swelling and tightness, she assumed it was just a muscle pull. A quick ultrasound told us otherwise—it was deep vein thrombosis (DVT), a serious blood clot in the deep veins of the leg that, if left untreated, could travel to the lungs and become life-threatening. Fortunately, we have more than just blood thinners—we now have the tools to remove clots quickly, safely, and with long-term benefits. This is the promise of mechanical thrombectomy.

What Is Mechanical Thrombectomy for DVT?

Mechanical thrombectomy is a minimally invasive, catheter-based procedure designed to physically remove blood clots from deep veins. Unlike traditional anticoagulation (which prevents further clotting but leaves the clot behind), this technique actually extracts the clot, restoring blood flow and preventing long-term damage such as post-thrombotic syndrome (PTS)—a common complication marked by chronic pain, swelling, skin changes, and even ulcers.

This option is ideal for:

  • Patients with large, fresh DVT clots
  • Individuals at high risk of complications from thrombolytics
  • Those with severe symptoms or limb-threatening DVT
  • Patients wanting faster recovery and improved quality of life

How the Thrombectomy Procedure Works: A Step-by-Step Guide

Step 1: Diagnosis and Planning

We begin with a detailed consultation, medical history review, and diagnostic imaging—usually duplex ultrasound and sometimes CT venography—to confirm clot size, age, and location.

Step 2: Minimally Invasive Access

The procedure is performed in a specialized interventional suite. After numbing the skin with local anesthesia, a tiny puncture is made—usually in the groin or behind the knee—to access the affected vein.

Step 3: Clot Removal

A catheter-based device like the ClotTriever® or Inari system is advanced into the clot. These devices are engineered to trap, capture, and remove the clot in one pass—without using clot-dissolving drugs. The process typically takes 30 to 60 minutes.

Step 4: Post-Procedural Monitoring

Patients are observed for a few hours, then discharged the same or next day. Most feel relief immediately—reduced swelling, improved leg function, and even less pain when walking.

Step 5: Follow-Up and Long-Term Prevention

We provide a tailored care plan, including:

  • Short-term blood thinners
  • Compression stockings
  • Risk factor assessment (e.g., screening for thrombophilia or cancer if needed)
  • Lifestyle advice to reduce recurrence

Studies like the CLOUT Registry (500+ patients) have shown over 90% clot clearance, rapid symptom relief, and extremely low complication rates. Patients returned to work faster, walked pain-free sooner, and avoided long-term venous damage【source: PMC10615929】.

Expert-Led Treatment by a Vascular-Focused Cardiologist

As a vascular specialist, I offer a uniquely holistic approach:

  • I don’t just treat the clot—I assess your underlying risk, your circulatory system, and your cardiac profile.
  • I work with you to personalize your care—from diagnosis to long-term prevention.
  • I bring the latest evidence-based therapies from academic medicine into private practice.

Whether you’re newly diagnosed or struggling with chronic leg symptoms, know this: you don’t have to live with the fear or pain of DVT. We can treat it—safely, quickly, and effectively.

Are You a Candidate for Thrombectomy?

Not every DVT requires thrombectomy, but you may be a strong candidate if:

  • Your clot is less than 14 days old
  • You have extensive femoral or iliac vein involvement
  • You have severe leg swelling, pain, or cyanosis
  • You’re at risk of complications from prolonged anticoagulation