New Routes for Continuous Endovascular Advancement

Endovenous techniques, such as pharmacomechanical thrombolysis, catheter directed thrombolysis, and mechanical thrombectomy are being employed increasingly to treat deep vein diseases, such as thrombosis or post-thrombotic syndrome. One of the key elements to achieving a high rate of success is the choice of an appropriate venous access, to provide a favourable approach the treatment site. In this context, the popliteal vein is an appropriate site of venous access for most treatments, given its anatomical position and calibre. Usually, a percutaneous popliteal venous access is obtained with the patient prone, under duplex ultrasound guidance.1