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Endovascular Thrombectomy

What Is Endovascular Thrombectomy? 

Endovascular thrombectomy is a procedure performed to treat deep vein thrombosis (DVT) or pulmonary embolism (PE). It is performed to quickly break up a blood clot, restore blood flow within the vein, and potentially preserve valve function to minimize the risk of post-thrombotic syndrome.

Who is a Candidate for Endovascular Thrombectomy? 

Individuals who may need an endovascular thrombectomy include those who have a blood clot that cannot be treated with medications such as anticoagulants (blood thinners) or thrombolytics (clot-busting medications). This procedure may be needed if the blood clot blocks blood flow to any part of the body, which can increase the risk of permanent tissue or organ damage, embolus, or, in some cases, death. To learn if this procedure is right for you, please consult with your vascular physician.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– Josh R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

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The Endovascular Thrombectomy Procedure

During an endovascular thrombectomy, you will receive general anesthesia or sedation to help you relax and fall asleep. Your physician will use image guidance to insert a catheter into the popliteal (located behind the knee) or another leg vein and thread it into the vein that contains the clot. The catheter tip is then placed into the clot and a clot-busting medication is infused into the clot. The fresher, or newer the clot, the faster it will dissolve (usually in 1-2 days).

Any narrowing in the vein that may lead to future clot formation can be identified by an imaging study of the veins known as venography. This can be treated with balloon angioplasty or stent placement.

For individuals who are not ideal candidates for thrombectomy and for whom blood thinners are not medically appropriate, your physician can insert a small device called a vena cava filter, which functions like a catcher’s mitt to capture blood clots but allows normal liquid blood to pass. 

For the treatment of DVT and to prevent a blood clot from traveling to the lungs, vascular physicians can perform a minimally invasive procedure to break apart the clot. This is one of the many procedures conveniently performed in our office. 

Endovascular Thrombectomy Aftercare 

Following endovascular thrombectomy, some people may be able to return home the same day, while others may need to stay in the hospital overnight for monitoring; this ultimately depends on the location of the clot and the surgery that was performed. Be sure to follow your physician’s aftercare instructions regarding how to care for your incision, how to take medications, and when you can return to regular activities. 


William Julien, MD

Board-Certified Vascular Interventional Physician


Mana Khatkar, PA-C

Certified Physician Assistant


Anissa Rodriguez, NP-C

Certified Nurse Practitioner


Schedule a Consultation  

To learn if endovascular thrombectomy is right for you, please contact South Florida Vascular Associates by giving us a call or filling out our online form. We serve the greater Southeast Florida areas with locations in Coconut Creek, Boynton Beach, and Plantation, FL.