Second Line Endovascular Treatment for Acute DVT

This study is looking at whether additional endovascular treatments are safe and effective for people with acute deep venous thrombosis (DVT), which are blood clots in deep veins. These treatments, called catheter-directed thrombolysis and mechanical thrombectomy, are used when initial blood thinner medication (anticoagulation) hasn't fully improved the DVT after one week. Catheter-directed thrombolysis uses a catheter to deliver clot-dissolving medicine directly to the clot, and mechanical thrombectomy physically removes the clot. The study will measure how well these treatments work at 30, 90, and 180 days. You may be able to join if you are between 18 and 75 years old, have acute DVT in your thigh or knee area, and are able to take blood thinners. The study is currently recruiting about 100 participants.

Study design
This is an interventional study aiming to enroll 100 participants to evaluate the effectiveness of endovascular treatments.
What's involved
Participants will be followed with repeat ultrasound (US) one week after starting DVT treatment to check their response to blood thinner medication.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 180 days to assess the long-term effectiveness of the treatments.

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NCT06486181

Second Line Endovascular Treatment in Acute DVT

Not Yet Recruiting
PHASE4Ages 18–75InterventionalTreatment
Rush University Medical Center
~100 participants
Updated 2026-01-28 on ClinicalTrials.gov
What's tested:Thrombolysis/Thrombectomy

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Efficacy of Endovascular Treatments Clinically
Measured over 30 days
+7 more outcomes measured
Deep Venous Thrombosis

NCT06486181

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • RUSH University Medical Center

    Chicago, Illinoisstudy coordinator listed

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Bulent Arslan, MD · PRINCIPAL_INVESTIGATOR · Rush University Medical Center

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Eligibility criteria

Inclusion

Patients over 18 years of age
Patients who have diagnosis of acute femoropopliteal acute deep venous thrombus
Patients eligible for anticoagulation treatment

Exclusion

Patients under 18 years of age
Patients over 75 years of age
Symptoms starting date of more than 14 days
Patients who have contraindication for anticoagulation treatment
Patients who have high bleeding risk (more than 2 of the following risk factors):
Age \>65 years
Previous bleeding
Cancer
Metastatic cancer
Renal failure
Liver failure
Thrombocytopenia
Previous stroke
Diabetes
Anemia
Antiplatelet therapy
Poor anticoagulant control
Comorbidity and reduced functional capacity
Recent surgery in 30 days
Frequent falls
Hemodynamically unstable patients
Patients having severe swelling and pain, cyanosis, and absent pulses consistent with compartment syndrome.
  • Efficacy of Endovascular Treatments Clinically30 days

    The clinical symptoms will be evaluated to assess the efficacy of treatments treatment with Villalta score which ranges from 0 to 33 where higher score is the more severe disease The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Clinically90 days

    The clinical symptoms will be evaluated to assess the efficacy of treatments treatment with Villalta score which ranges from 0 to 33 where higher score is the more severe disease The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Clinically180 days

    The clinical symptoms will be evaluated to assess the efficacy of treatments treatment with Villalta score which ranges from 0 to 33 where higher score is the more severe disease The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Clinically12 months

    The clinical symptoms will be evaluated to assess the efficacy of treatments treatment with Villalta score which ranges from 0 to 33 where higher score is the more severe disease The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Sonographically30 days

    The thrombus burden will be evaluated to assess the efficacy of treatments treatment with Marder score which ranges from 0 to 24 where higher scores represent more severe thrombus burden. The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Sonographically90 days

    The thrombus burden will be evaluated to assess the efficacy of treatments treatment with Marder score which ranges from 0 to 24 where higher scores represent more severe thrombus burden. The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Sonographically180 days

    The thrombus burden will be evaluated to assess the efficacy of treatments treatment with Marder score which ranges from 0 to 24 where higher scores represent more severe thrombus burden. The scores will be compared between arms at the end of the study.

  • Efficacy of Endovascular Treatments Sonographically12 months

    The thrombus burden will be evaluated to assess the efficacy of treatments treatment with Marder score which ranges from 0 to 24 where higher scores represent more severe thrombus burden. The scores will be compared between arms at the end of the study.