Acute Distress Respiratory Syndrome and Cardiac Shock after AngioJet Thrombectomy for Acute Occlusion of an Aortic Endograft

Stefano, Lucia Di; Wiesel, Paola; Pisanello, Serena; Angiletta, Domenico; Pulli, Raffaele

doi:10.1016/j.avsg.2020.08.128

Cited by 2 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The saline jets provide a driving force for the thrombus particles useful to their fragmentation and removal by the catheter. In the our previous published experience 13 we reported a life-threatening complication after the use of this device in a tapered infrarenal aortic stent-graft. Hemolytic phenomena following the hydrodynamic jets and the risk of distal embolization led us to select the Indigo system.…”

Section: Discussionmentioning

confidence: 87%

Endovascular Bailout Repair After Intraprocedural Thrombosis of a Bifurcated Unimodular Stent-graft During Aorto-iliac Revascularization in a Patient with Sars CoV-2 Infection

Zacà

Ramundo

Desantis

et al. 2023

Vasc Endovascular Surg

Self Cite

View full text Add to dashboard Cite

To describe a case of endovascular bailout strategy during stent-graft thrombotic complication in an endovascular procedure for complex TASC II D aortoiliac lesion. A 77-year-old patient was admitted at our institution with bilateral lower limb rest pain due to aortoiliac obstructive disease in a previous aortobifemoral bypass grafting with an asymptomatic Sars-CoV-2 infection. We planned an anatomic reconstruction of the aortoiliac segment with an unimodular bifurcated stent-graft. During the procedure, we observed a preocclusive thrombosis of the aortic portion requiring endovascular thrombectomy with vacuum assisted system followed by a successfully kissing-stent endolining. The post-operative period was uneventful and patient was discharged on the 14th post-operative day. Endovascular thrombectomy may be a helpful strategy during thrombotic complication of complex reconstructions of obstructive aortoiliac disease avoiding surgical conversion to laparotomy.

show abstract

Section: Discussionmentioning

confidence: 87%

Endovascular Bailout Repair After Intraprocedural Thrombosis of a Bifurcated Unimodular Stent-graft During Aorto-iliac Revascularization in a Patient with Sars CoV-2 Infection

Zacà

Ramundo

Desantis

et al. 2023

Vasc Endovascular Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is the first time that we adopt the IST to treat the thrombosis on LVAD. Here, we review clinical studies about thrombolytic technologies on implantable and interventional devices in recent years [ 2 , 3 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ] and compare the IST with other currently used thrombolytic technologies, including medical therapy, pump exchange, sonothrombolysis, washout maneuver, and mechanical thrombectomy. Safety and efficiency are focused on in the evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Although it shows a good success ratio, the risk is still high because the thrombus washed from LVAD will enter other organs. [ 3 , 27 ] Mechanical thrombectomy is currently widely used in vascular graft thrombosis, [ 28 , 29 , 30 , 31 , 32 ] but this therapy has a risk of damaging the inner wall of the blood vessels in the treatment site. Sonothrombolysis has been widely used in vein bypass grafts thrombolysis: the ultrasonic probe is inserted into the thrombus through intervention of the catheter.…”

Section: Discussionmentioning

confidence: 99%

Interventional Microbubble Enhanced Sonothrombolysis on Left Ventricular Assist Devices

et al. 2022

View full text Add to dashboard Cite

The left ventricular assist device (LVAD) is often used in the treatment of heart failure. However, 4% to 9% implanted LVAD will have thrombosis problem in one year, which is fatal to the patient's life. In this work, an interventional sonothrombolysis (IST) method is developed to realize the thrombolysis on LVAD. A pair of ultrasound transducer rings is installed on the shell of LVAD, and drug-loaded microbubbles are injected into the LVAD through the interventional method. The microbubbles are adhere on the thrombus with the coated thrombus-targeted drugs, and the thrombolytic drugs carried by the bubbles are brought into the thrombus by the cavitation of bubbles under the ultrasound. In a proof-of-concept experiment in a live sheep model, the thrombus on LVAD is dissolved in 30 min, without damages on LVADs and organs. This IST exhibits to be more efficient and safer compared with other thrombolysis methods on LVAD.

show abstract

Acute Distress Respiratory Syndrome and Cardiac Shock after AngioJet Thrombectomy for Acute Occlusion of an Aortic Endograft

Cited by 2 publications

References 15 publications

Endovascular Bailout Repair After Intraprocedural Thrombosis of a Bifurcated Unimodular Stent-graft During Aorto-iliac Revascularization in a Patient with Sars CoV-2 Infection

Endovascular Bailout Repair After Intraprocedural Thrombosis of a Bifurcated Unimodular Stent-graft During Aorto-iliac Revascularization in a Patient with Sars CoV-2 Infection

Interventional Microbubble Enhanced Sonothrombolysis on Left Ventricular Assist Devices

Contact Info

Product

Resources

About