Luca Galassi: Retrieved Venous Thrombi as a Tool for Predicting Post-Thrombotic Syndrome
Luca Galassi, Editorial Board Member at Sage, shared a post on LinkedIn about a recent article he and his colleagues co-authored, published in Journal of Thrombosis and Thrombolysis, adding:
“The thrombus goes in the bin.
Several grams of human tissue, out of a vein twenty minutes earlier, the disease still written into it. Weighed, photographed for the record, and discarded.
Our paper on why that should change is out today in the Journal of Thrombosis and Thrombolysis.
In stroke, the retrieved clot became a research field a decade ago, and it produced a therapeutic idea, adding DNase to lysis, straight out of the tissue.
On the venous side:
- The entire published literature on mechanically retrieved venous thrombi is about 65 specimens. A single stroke study in 2018 analysed 108.
- None of those venous series mapped neutrophil extracellular traps. None followed the patient afterwards.
- Around 40% of patients with proximal DVT develop post-thrombotic syndrome within two years. We still cannot say why that patient and not the one next to him.
The answer may be sitting in the specimen we throw away.
If the thrombus can tell us who will develop post-thrombotic syndrome, it can tell us who needs longer anticoagulation, closer follow-up, or a second look, before the damage is done.
So we wrote the protocol that does not yet exist: how to capture the specimen with any device, where to analyse it, what to measure, and which clinical questions it can realistically answer.
A question for interventionalists:
In your cath lab, where does the retrieved thrombus go?”
Title: The retrieved venous thrombus as a translational platform: a methodologic roadmap for venous immunothrombosis
Authors: Luca Galassi, Antonio Rossi, Greta Pellegrino, Lina Azzahrani, Leylie Meh, Federica Facchinetti, Carlo Banfi

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