Document Detail


Adjunctive techniques in percutaneous mechanical thrombectomy.
MedLine Citation:
PMID:  12772124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous mechanical thrombectomy is an established method in interventional radiology and refers to the removal of acute embolic or thrombotic occlusive material in arteries, veins, or vascular grafts using percutaneous transluminal methods. However, initial complete removal of occlusive material can be achieved only in a minority of patients. The amount of removed material varies with the age and composition of the occlusive material. To achieve sufficient revascularization, adjunctive use of a variety of percutaneous endovascular recanalization techniques is necessitated. Additional treatment with local intra-arterial fibrinolysis, balloon angioplasty, stent implantation, endoluminal atherectomy, and other measures results in primary technical success rates of 70% to 100% for revascularization of acutely occluded vessels. The above-mentioned different techniques should not be viewed as competitive treatment modalities, rather a synergistic approach should be offered. The aim of this report is to review different adjunctive techniques in percutaneous mechanical thrombectomy with emphasis on techniques, mechanisms of action, experimental and clinical results, potential complications, and their potential role in view of clinical pathways to treat acute limb ischemia.
Authors:
Marc Kalinowski; Hans-Joachim Wagner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Techniques in vascular and interventional radiology     Volume:  6     ISSN:  1089-2516     ISO Abbreviation:  Tech Vasc Interv Radiol     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-28     Completed Date:  2003-07-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9806675     Medline TA:  Tech Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6-13     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Elsevier Inc. All rights reserved.
Affiliation:
Department of Diagnostic Radiology, University Hospital, Philipps University, Marburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Angioplasty, Balloon
Atherectomy
Combined Modality Therapy
Fibrinolytic Agents
Humans
Ischemia / therapy*
Leg / blood supply
Radiology, Interventional
Stents
Thrombectomy / instrumentation,  methods*
Ultrasonic Therapy
Venous Thrombosis / therapy*
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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