| The Trellis Thrombectomy System in the treatment of acute limb ischemia. | |
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MedLine Citation:
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PMID: 12877616 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report the use of a new percutaneous mechanical thrombectomy device in the treatment of acute limb-threatening ischemia. TECHNIQUE: The Trellis Thrombectomy System is a 7-F drug dispersion catheter that features a treatment segment isolated by proximal and distal occlusion balloons, which help prevent distal embolization and systemic release of the infused thrombolytic agent. After inflating the distal balloon, the thrombolytic agent is infused and held at the target site by inflation of the proximal balloon. An oscillating dispersion wire optimizes dispersal of the thrombolytic agent as the thrombus is mechanically fragmented. The liquefied thrombus is then aspirated. Four consecutive patients with acute lower extremity ischemia secondary to bypass graft thrombosis were treated with the Trellis thrombectomy catheter. Overall, 95% of thrombus was successfully removed from the treatment zone, with no device-related complications. Only one patient required adjunctive thrombolytic therapy after thrombectomy with the Trellis device. CONCLUSIONS: The Trellis thrombectomy device is a safe and effective technique to isolate the infused thrombolytic agent in association with mechanical fragmentation for rapid blood flow restoration. |
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Authors:
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Karthikeshwar Kasirajan; Venkatesh G Ramaiah; Edward B Diethrich |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2003-07-24 Completed Date: 2004-02-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 317-21 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA. kkasirajan@salud.unm.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Aged, 80 and over Graft Occlusion, Vascular / complications, surgery* Humans Ischemia / etiology, surgery* Leg / blood supply* Male Thrombectomy / instrumentation* Thrombosis / etiology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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