Die perkutane Aspirations-Thromboembolektomie: eine weitere transluminale Angioplastiemethode

Abstract

Percutaneous aspiration-thromboembolectomy is a simple method for removal of thrombo-embolic material of diverse origin. It is highly effective with small material outlay. As a third angioplasty method it has considerably improved the success rates of balloon dilatation and local lysis treatment with urokinase or streptokinase. The procedure was used alone or in combination on 71 occasions involving 69 limbs in 66 patients. An angiographically demonstrable success was seen in 96% and clinical improvement in 91.6%. Local lysis treatment with streptokinase or urokinase was shortened, less hazardous and, because of removal of non-lysable material, more successful. Embolectomy with the Fogarty catheter remains the method of choice for treating emboli arising from the heart in vessels of the aorto-iliac system. For smaller vessels below the inguinal ligament, however, we consider the new, lesser invasive method to be an alternative to vessel surgery.

Early Thrombosuction and Tirofiban Use in Knee and Below-Knee Arterial Thrombosis

“…Other possible complications are residual occlusion, distal embolization, dissection, or lesions which need balloon or stent. Acute renal insufficiency due to hemoglobinuria caused by extreme muscle damage during or after mechanical thromboembolectomy may occur [13,14,33,34]. …”

“…Regardless of the treatment method, the success rate is lower in below-knee arteries compared to upper segments. PT method is easier than mechanical thromboembolectomy, with similar outcomes; nevertheless, residual thrombus, distal microembolization, and dissection are disadvantages of both methods [13,14]. …”