Long-term results of percutaneous aspiration embolectomy

Wagner, Hans‐Joachim; Starck, E; Reuter, P.

doi:10.1007/bf00192445

Cited by 46 publications

(13 citation statements)

References 16 publications

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“…The results of AT have been favorable. Wagner et al (16) reported clinical success in 86% of 90 patients and cumulative primary patency rates of 68% and 58% at one and four years, respectively. Major amputation was unavoidable in 8 cases.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions

Oğuzkurt

Özkan²,

Gümüş³

et al. 2009

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions

Oğuzkurt

Özkan²,

Gümüş³

et al. 2009

Diagn Interv Radiol

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“…Mechanical maceration [16,20,21] seems to give slightly better results than hydrodynamic approaches [1,3,7,22]. In some studies PTA also showed high success rates in the range of 90-95% [1][2][3][4]24]. However, additional thrombolysis was used in 71% [24] and 22% [4] of cases, respectively.…”

Section: Discussionmentioning

confidence: 99%

Recanalization of Acute and Subacute Femoropopliteal Artery Occlusions with the Rotarex Catheter: One Year Follow-up, Single Center Experience

Duc

Schoch

Pfyffer

et al. 2005

Cardiovasc Intervent Radiol

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Purpose: To assess the efficacy and safety of a new rotational catheter for percutaneous removal of fresh and organized thrombi in the femoropopliteal artery. Methods: Forty-one limbs in 38 patients (age 56-90 years, mean 75.6 years) with acute, subacute or chronic femoropopliteal occlusions of 1-180 daysÕ duration (mean 31.6 days) were treated with the Rotarex device. The Fontaine stage was mainly IIB (Rutherford 2-3, 22 patients) or III (Rutherford 4, 14 patients). The length of occlusion varied from 2 to 35 cm (mean 13.1 cm). After recanalization percutaneous transluminal angioplasty (PTA) was performed if there was a residual stenosis of >25%. Patients were followed up with color Doppler ultrasound at 48 hr and clinically with Doppler pressures and oscillometry at 3, 6, and 12 months. Results: After an average of two passages with the Rotarex catheter all but two limbs required PTA for residual stenosis >25%. Five patients needed additional stenting. Major complications were one groin hematoma requiring blood transfusion and one arteriovenous fistula spontaneously thrombosing after unsuccessful primary prolonged balloon dilation. Distal embolizations occurred in 10 patients; 6 clinically relevant emboli were aspirated. All occlusions were technically successfully recanalised there were 2 early reocclusions after 1 day and two at 2 weeks. Brachial-ankle indices improved from an average of 0.41 before to 0.93 after recanalization. Primary and secondary patency rates were 62% / 84% after 6 months and 39% / 68% after 1 year. The amputation-free survival at 12 months was 100%. Conclusion: The Rotarex mechanical thrombectomy device is an efficient, quick, easy to handle, and safe tool for the treatment of acute, subacute or even chronic peripheral arterial thromboembolic occlusions. It can be used for short or long occlusions with equal success, provided the obstruction is not heavily calcified and has been safely passed with a guidewire first.

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“…But, as shown in this survey, overall the complication rate of PAE is low and PAE can be performed successfully in most patients. Wagner et al reported on PAE for the treatment of acute arterial embolic infrainguinal vascular occlusion in 85 patients [5]. Clinical success was achieved in 77 of 90 limbs (86%).…”

Section: Discussionmentioning

confidence: 99%

“…Though the technique is applied for more than 30 years there are limited data on the technical and clinical success rate and the rate of complications for this kind of treatment [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Aspiration Embolectomy in the Treatment of Acute Arterial Embolic Infrainguinal Vascular Occlusion

Schleder¹,

M²,

Manke³

et al. 2017

J Clin Exp Cardiolog

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Long-term results of percutaneous aspiration embolectomy

Abstract: PAE is highly effective in the treatment of embolic occlusions of the lower leg arteries and should be considered as an alternative to Fogarty balloon embolectomy.

Cited by 46 publications

References 16 publications

Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions

Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions

Recanalization of Acute and Subacute Femoropopliteal Artery Occlusions with the Rotarex Catheter: One Year Follow-up, Single Center Experience

Percutaneous Aspiration Embolectomy in the Treatment of Acute Arterial Embolic Infrainguinal Vascular Occlusion

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