CLINICAL EFFICACY OF RHEOLYTIC THROMBECTOMY IN PATIENTS WITH ACUTE ARTERIAL OCCLUSIONS



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Abstract

Purpose: This study was designed to evaluate efficacy of Angiojet rheolytic thrombectomy in patients with acute arterial occlusions. Methods: In the group of patients with endovascular correction of acute peripheral arterial occlusion included 33 patients who rheolytic therapy was performed of 54 peripheral arteries. Results: By using AngioJet system for recanalization of acute peripheral arterial occlusion primary technical success was achieved in 57,6 % of patients (19/33); secondary technical success was obtained in 18,2 % of patients (6/33). Criteria of primary technical success was complete relief of pain and increase in pain-free walking distance of more than 500 meters. Secondary technical success was relief of pain and increase in pain-free walking distance of less than 500 meters.

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About the authors

I P Dudanov

Petrozavodsk State University

Email: pdudanov@gmail.com
Corresponding member of the RAS Petrozavodsk, Russia

V V Zelenin

City Mariinskaya Hospital

Email: zvv-05@mail.ru
Saint-Petersburg, Russia

V M Cheremisin

Saint-Petersburg State University

Saint-Petersburg, Russia

References

  1. Затевахин И. И., Шиповский В. Н., Золкин В. Н. Баллонная ангиопластика при ишемии нижних конечностей: руководство для врачей.- М.: ОАО «Медицина», 2004.- 256 с.
  2. Haskal Z. J. Mechanical thrombectomy devices for the treatment of peripheral arterial occlusions // Rev. Cardiovasc Med.- 2002.- Vol. 3, Suppl. 2.- Р. S45-52.
  3. Karthikeshwar Kasirajan, Ziv J. Haskal, and Kenneth Ouriel. The Use of Mechanical Thrombectomy Devices in the Management of Acute Peripheral Arterial Otclusive Disease // J. Vase Interv. Radiol.- 2001.- Vol. 12.- Р. 405-411.
  4. Trerotola S. O., Davidson D. D., Filo R. et al. Preclinical in vivo testing of a rotational mechanical thrombectomy device // J. Vase Interv. Radiol.- 1996.- Vol. 7.- Р. 717-723.
  5. Овчининский М. Н., Лимарь Л. А., Журавлев И. В. Эндоваскулярная ангиопластика окклюзионных поражений артерий таза и нижних конечностей // Тезисы Х симпозиума. «Проблемы интервенционной радиологии» / Российская академия медицинских наук. РНЦХ.- М., 1992.- С. 31-33.
  6. Ansel G. M., George B. S., Botti C. F. et al. Rheolyticthrombectomy in the management of limb ischemia: 30-day results from a multicenter registry // J. EndovascTher.- 2002.- Vol. 9 (4).- Р. 395-402.
  7. Borgia F., Di Serafino L., Sannino A. et аl. Angiojetrheolyticthrombectomy for acute superficial femoral artery stent or femoropopliteal by-pass thrombosis // Monaldi Arch. Chest Dis.- 2010.- Vol. 74 (2).- Р. 76-81.
  8. Perler B. A., MD., Becker G. J. Vascular Intervention: A Clinical Approach Theme.- Medical Publishers Inc., 1998.
  9. Scheinert D., MD, Biamino G., MD. Recanalization of the Femoro-Popliteal Tact // The Paris Course on Revascularization.- 2001.- Р. 377-387.
  10. Hanover T. M., Kalbaugh C.A., Gray B. H. et al. Safety and efficacy of reteplase for the treatment of acute arterial occlusion: complexity of underlying lesion predicts outcome // Ann. Vasc. Surg.- 2005.- Vol. 19 (6).- Р. 817-822.
  11. Kasirajan K., Haskal Z. J., Ouriel K. The use of mechanical thrombectomy devices in the management of acute peripheral arterial occlusive disease // J. Vasc. Interv. Radiol.- 2001.- Vol. 12 (4).- Р. 405-411.
  12. Shammas N. W., Dippel E. J., Shammas G. et аl. Dethrombosis of the lower extremity arteries using the power-pulse spray technique in patients with recent onset thrombotic occlusions: results of the DETHROMBOSIS Registry // J. Endovasc. Ther.- 2008.- Vol. 15 (5).- Р. 570-579. doi: 10.1583/08-2453.1.
  13. Yasui K, Qian, Nazarian G. K., Hunter D. W. et al. Recirculation-type Amplatz clot macerator: determination of particle size and distribution // J. Vase Interv. Radiol.- 1993.- Vol. 4.- Р. 275-278.
  14. Lin P. H., Mussa F. F., Hedayati N. et аl. Comparison of AngioJet rheolytic pharma comechanical thrombectomy versus AngioJet rheolytic thrombectomy in a porcine peripheral arterial model // World J. Surg.- 2007.- Vol. 31 (4).- Р. 715-722.
  15. Gupta R., MD, Gautam A., MD, Hennebry T. A., MB BCh BAO Disclosures. Percutaneous Site-specific Pharmacomechanical Thrombolysis-thrombectomy System for Bilateral Acute Limb Ischemia // J. Invasive Cardiol.- 2011.- Vol. 23 (2).- Р. 81-83.
  16. Spiliopoulos S., Katsanos K., Fragkos G. et аl. Treatment of infrainguinal thromboembolic complications during peripheral endovascular procedures with AngioJetrheolyticthrombectomy, intraoperative thrombolysis, and selective stenting // J. Vasc Surg.- 2012.- Vol. 56 (5).- Р. 1308-16. doi.: 10.1016/j.jvs.2012.04.036. Epub 2012 Jul 25.
  17. Shammas N. W., Weissman N. J., Coiner D. et al. Dethrombosis of lower extremity thrombus by local delivery of thrombolysis using Clear Way transcatheter balloon irrigation.- Р. a feasibility study // Cardiovasc. Revasc. Med.- 2011.- Vol. 12 (6).- Р. 350-354. doi.: 10.1016/j.carrev.2011.06.002.
  18. Barbato J. E., Wholey M. H. Use of AngioJet mechanical thrombectomy for acute peripheral ischemia associated with stent fracture // Catheter CardiovascInterv.- 2007.- Vol. 70 (6).- Р. 795-798

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Copyright (c) 2014 Dudanov I.P., Zelenin V.V., Cheremisin V.M.

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