Complications associated with the Rotarex<sup>®</sup> wire in a patient with peripheral artery disease

Han, Donghoon; Shin, Dong-Geum; Kang, Min-Kyung; Cho, Jung Rae; Choi, Sang Yong; Lee, Nam-Ho; Lee, Jong‐Wook; Cho, Yoon Haeng

doi:10.1002/ccr3.3195

Cited by 1 publication

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“…There were no distal embolic complications. As the device passage is done following a retrograde track established in a wide channel (covered by prosthetic material) from patent distal to proximal segments, and it is not being used as an atherectomy device for peripheral arterial disease, complications due to wire issues 10 are unlikely to happen in our view, and did not occur.…”

Section: Resultsmentioning

confidence: 99%

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

2023

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Objective Limb graft occlusion (LGO) is a recognised complication after endovascular aneurysm repair (EVAR). We present outcomes of a case series of LGO treated by percutaneous mechanical thrombectomy (PMT). Methods Six male patients (mean age 70.5 ± 7.5 years) presented with LGO after EVAR ( n = 4), fenestrated EVAR with an iliac branch device ( n = 1), branched EVAR ( n = 1). Median time to occlusion was 28.5(IQR 90) weeks; all occlusions were unilateral. The presenting symptom was intermittent claudication ( n = 4), chronic limb-threatening ischaemia ( n = 1) or acute limb ischaemia ( n = 1). PMT was undertaken using the 10F Rotarex Rotational Excisional Atherectomy System (Becton, Dickinson and Company, Franklin Lakes, USA) with optional stenting/reline of the affected limb. Results LGO was cleared in all 6 cases by PMT with limb stenting ( n = 4)/limb reline ( n = 2)/outflow stenting ( n = 2). Post-operatively, novel oral anticoagulant therapy supplemented prior antiplatelet therapy in all cases. Length of stay was 2 (IQR 19) days. All cleared limbs remain patent at median 15 (IQR 185) weeks follow-up. Conclusion This case series indicates that percutaneous mechanical thrombectomy is associated with high technical success rates and subsequent acceptable ensuing short-to-midterm patency. This approach is a valid alternative to surgical interventions in such cases, and represents our primary approach when LGO is encountered after EVAR.

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Section: Resultsmentioning

confidence: 99%

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

2023

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Complications associated with the Rotarex^® wire in a patient with peripheral artery disease

Abstract: The Rotarex ® device is used for thrombectomy as well as atherectomy in patients with PAD. It is important to carefully consider the wire position of the Rotarex ® device during the procedure. As possible as the wire should be located in a lesion‐free area.

Cited by 1 publication

References 13 publications

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

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Complications associated with the Rotarex® wire in a patient with peripheral artery disease

Abstract: The Rotarex ® device is used for thrombectomy as well as atherectomy in patients with PAD. It is important to carefully consider the wire position of the Rotarex ® device during the procedure. As possible as the wire should be located in a lesion‐free area.

Cited by 1 publication

References 13 publications

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

Percutaneous mechanical thrombectomy for limb graft occlusion after endovascular aneurysm repair: Results of a case series

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Complications associated with the Rotarex^® wire in a patient with peripheral artery disease