But agree there is potential symptom relief as I noted. The field of chronic dvt is somewhat enticing for us proceduralists where volume is decreasing and where the data is scarce.
But some guys are going crazy Lysing every clot and that’s rvu enticing but obviously unneeded
But easy to pitch it to patients because it makes sense and it’s a super easy procedure. Takes me 10-15 min and can still reimbursing well - though I’m not using ekos for dvt at my new hospital due to turf wars
Risk of bleeding with localized delivery is also pretty Low.
But it’s obviously not saving anyone’s life. Even ekos in hemodynamicslly unstable PE doesn’t have as much data behind it that u would think or hope but more studies in pipeline