| Early experience with a rotational thrombectomy device for treatment of acute and subacute infra-aortic arterial occlusions. | |
| | |
MedLine Citation:
|
PMID: 12877617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To evaluate a rotational thrombectomy device in the treatment of acute and subacute/chronic thrombotic infra-aortic occlusions of native vessels and bypass grafts. METHODS: From July 2000 to February 2002, 98 patients (65 men; mean age 66+/-9 years, range 47-90) with 100 thrombotic occlusions (mean age of occlusion 31+/-33 days, range 0-140) measuring an average of 21+/-11 cm long (range 2-40) were treated with rotational thrombectomy (Rotarex). There were 33 acute (</=14 days) thrombotic/embolic native artery occlusions (group I), 58 subacute/chronic (>14 days) native artery occlusions (group II), and 9 acute bypass graft occlusions (group III). RESULTS: The device activation time was 4.9+/-1.4 minutes, during which 4.0+/-1.4 passes of the device were performed. The amount of aspirated fluid was 240+/-119 mL. Slightly less than half the arteries (48%) were stented. Primary success (residual stenosis <30%) was achieved in 92% (94% for group I, 93% for group II, and 78% for group III; 100% for the ipsilateral approach, 56% for the crossover approach). Among the 18 complications, 3 were serious (2 amputations after unsuccessful intervention and 1 death); there were 8 vessel perforations and 7 cases of peripheral embolization. Thirty-day survival and limb salvage was 88% for group I, 100% for group II, and 66% for group III. CONCLUSIONS: The device is an easy-to-handle, useful tool for ipsilateral treatment of acute and subacute thrombotic arterial and bypass graft occlusions. The use of this device is limited by the 8-F diameter of the catheter and the limited capacity for crossover interventions. |
| | |
Authors:
|
Thomas Zeller; Ulrich Frank; Karlheinz Bürgelin; Christian Müller; Peter Flügel; Barbara Horn; Uwe Schwarzwälder; Franz-Josef Neumann |
Related Documents
:
|
21993847 - 3',4'-dihydroxyflavonol reduces vascular contraction through ca(2+) desensitization in ... 17250737 - Thrombotic occlusion of the common carotid artery (cca) in acute ischemic stroke treate... 19442987 - Acute bilateral thalamic infarction as a cause of acute dementia and hypophonia after o... 19736637 - Retrograde transpedale recanalisation of tibial artery occlusion. 15470907 - Imaging and peroxisome proliferator-activated receptor agonists: uncovering their role ... 15513347 - Budd-chiari and inferior caval vein syndromes due to membranous obstruction of the live... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 10 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2003 Apr |
Date Detail:
|
Created Date: 2003-07-24 Completed Date: 2004-02-04 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
|
Languages: eng Pagination: 322-31 Citation Subset: IM |
Affiliation:
|
Department of Angiology, Heart-Center Bad Krozingen, Germany. thomas.zeller@herzzentrum.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Aged Aged, 80 and over Aortic Diseases / surgery* Arterial Occlusive Diseases / surgery* Atherectomy / instrumentation* Blood Vessel Prosthesis / adverse effects Female Graft Occlusion, Vascular / surgery* Humans Male Middle Aged Prospective Studies Thrombectomy / instrumentation* Thromboembolism / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The Trellis Thrombectomy System in the treatment of acute limb ischemia.
Next Document: Thrombolysis and mechanical fragmentation to treat massive pulmonary embolism in a patient with an a...