Document Detail


Recanalization of acute and subacute femoropopliteal artery occlusions with the rotarex catheter: one year follow-up, single center experience.
MedLine Citation:
PMID:  16132388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the efficacy and safety of a new rotational catheter for percutaneous removal of fresh and organized thrombi in the femoropopliteal artery. METHODS: Forty-one limbs in 38 patients (age 56--90 years, mean 75.6 years) with acute, subacute or chronic femoropopliteal occlusions of 1--180 days' duration (mean 31.6 days) were treated with the Rotarex device. The Fontaine stage was mainly IIB (Rutherford 2--3, 22 patients) or III (Rutherford 4, 14 patients). The length of occlusion varied from 2 to 35 cm (mean 13.1 cm). After recanalization percutaneous transluminal angioplasty (PTA) was performed if there was a residual stenosis of >25%. Patients were followed up with color Doppler ultrasound at 48 hr and clinically with Doppler pressures and oscillometry at 3, 6, and 12 months. RESULTS: After an average of two passages with the Rotarex catheter all but two limbs required PTA for residual stenosis >25%. Five patients needed additional stenting. Major complications were one groin hematoma requiring blood transfusion and one arteriovenous fistula spontaneously thrombosing after unsuccessful primary prolonged balloon dilation. Distal embolizations occurred in 10 patients; 6 clinically relevant emboli were aspirated. All occlusions were technically successfully recanalised there were 2 early reocclusions after 1 day and two at 2 weeks. Brachial-ankle indices improved from an average of 0.41 before to 0.93 after recanalization. Primary and secondary patency rates were 62% / 84% after 6 months and 39% / 68% after 1 year. The amputation-free survival at 12 months was 100%. CONCLUSION: The Rotarex mechanical thrombectomy device is an efficient, quick, easy to handle, and safe tool for the treatment of acute, subacute or even chronic peripheral arterial thromboembolic occlusions. It can be used for short or long occlusions with equal success, provided the obstruction is not heavily calcified and has been safely passed with a guidewire first.
Authors:
Sylvain R Duc; Eric Schoch; Markus Pfyffer; Regula Jenelten; Christoph L Zollikofer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  28     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-09-26     Completed Date:  2006-08-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  603-10     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kantonsspital Winterthur, Brauerstrasse 15, Winterthur 8401, Switzerland. Sylvain.duc@balgrist.ch
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Angiography
Angioplasty, Balloon / instrumentation*
Arterial Occlusive Diseases / radiography,  therapy*,  ultrasonography
Balloon Occlusion / instrumentation*
Disease-Free Survival
Female
Femoral Artery / radiography,  surgery*,  ultrasonography
Follow-Up Studies
Graft Occlusion, Vascular / etiology
Humans
Male
Middle Aged
Popliteal Artery / radiography,  surgery*,  ultrasonography
Retrospective Studies
Thrombectomy / instrumentation*
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color
Vascular Patency

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


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