Rheolytic Thrombectomy in the Management of Limb Ischemia:30-Day Results From a Multicenter Registry

Abstract

Percutaneous treatment of thrombotic occlusions with RT, followed by definitive treatment of the underlying stenosis, is a promising therapeutic option for patients with limb-threatening ischemia.

Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions

“…However, this could be usually dealt with by sufficient hydration. The data from a multicenter registry with Angiojet rheolytic thrombectomy in limb threatening ischemia show comparable results to our cohort [23, 24]. …”

Pancreatitis Caused by Rheolytic Thrombolysis: An Unexpected Complication

“…Despite these cited advantages, complications with use of this device have been described and include hemorrhagic complications, vessel wall injury or dissection, distal embolization, chest pain, cardiac arrhythmias, congestive heart failure, and hemolysis (3,5,7). Herein we report the complication of acute pancreatitis observed in two patients after mechanical thrombolysis with use of the AngioJet system.…”

“…PERCUTANEOUS mechanical thrombolysis has become an important lessinvasive adjunct in the complex management of arterial and venous thrombosis (1)(2)(3)(4)(5)(6). The principal advantage of the catheters used during these procedures lies in their ability to rapidly remove thrombus while avoiding the potential hemorrhagic complications associated with the sole use of chemical thrombolysis.…”

“…The An-gioJet system employs high-velocity saline solution jets to create a lowpressure zone at the tip of the catheter (ie, the Venturi effect), thereby indirectly creating a negative pressure to evacuate fragmented thrombus (4). This mechanism of action offers the benefit of protecting the endothelium from serious injury (1)(2)(3)(4)(5)(6).…”

Percutaneous isolated pharmaco‐mechanical thrombolysis‐thrombectomy system for the management of acute arterial limb ischemia: 30‐day results from a single‐center experience

“…Clinical lesion class was defined by Rutherford classification with class 1 being viable, class 2a—marginally threatened, 2b—profoundly threatened and class 3 being major irreversible [7]. Response to therapy was defined as—having complete or substantial response (<50% residual disease), partial response (>50% residual disease) or minimal/no response [8]. Individual peripheral angiograms were reviewed and flow pattern in the arteries was determined qualitatively as defined by the TIMI method for the coronary arterial flow [9].…”