Of the 55 patients enrolled in this study, 9 underwent thrombectomy in accordance with the National Russian Guidelines
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that recommend thrombectomy in embologenic thrombosis; the floating portion of the thrombus is considered embologenic when it is ∼3 cm in size and protruding into the femoral or iliac vein or the inferior vena cava. Six patients had a thrombectomy of the common femoral vein and three in the common femoral and iliac veins. Fresh thrombi extracted during thrombectomy were fixed in 2% glutaraldehyde. The fixed clots were washed in 50 mM sodium cacodylate with 100 mM NaCl (pH 7.4), then dehydrated and sputter-coated. The thrombi were cut-open and the interior parts of thrombi were examined in a FEI Quanta 250FEG scanning electron microscope (FEI, Hillsboro, OR). For each thrombus, 10 to 15 high magnification micrographs were analyzed taken at randomly chosen locations.