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Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion
Acute and subacute ischemia of the legs in acute and subacute femoropopliteal bypass occlusion is a dramatic situation that endangers the survival of the limbs, depending on the severity of the ischemia. Different therapy options like percutaneous mechanical thrombectomy procedures, which include ro...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363147/ https://www.ncbi.nlm.nih.gov/pubmed/22661895 http://dx.doi.org/10.2147/VHRM.S30819 |
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author | Lichtenberg, Michael Käunicke, Matthias Hailer, Birgit |
author_facet | Lichtenberg, Michael Käunicke, Matthias Hailer, Birgit |
author_sort | Lichtenberg, Michael |
collection | PubMed |
description | Acute and subacute ischemia of the legs in acute and subacute femoropopliteal bypass occlusion is a dramatic situation that endangers the survival of the limbs, depending on the severity of the ischemia. Different therapy options like percutaneous mechanical thrombectomy procedures, which include rotational thrombectomy, have become available in recent years, in addition to local lysis and surgical thrombectomy. Surgical thrombectomy using the Fogarty catheter technique, in particular, shows an increased incidence of perioperative complications but only small technical success rates in randomized trials. On the other hand, local lysis is associated with increased costs due to resource-consuming measures, such as intensive monitoring and repeat angiographies, in addition to bleeding complications. In the past, further development of the Straub Rotarex(®) system as an endovascular therapy option has demonstrated good success leading to amputation-free survival in multiple studies. At the same time, a low rate of complications with use has been documented. Most examinations have been conducted in the thigh. To date, there are little investigational data on its use in acutely and subacutely occluded femoropopliteal bypasses. In this paper, the current study-based significance of the Rotarex system for this indication is analyzed based on the existing literature and the authors’ own experiences with 22 patients. |
format | Online Article Text |
id | pubmed-3363147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-33631472012-06-01 Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion Lichtenberg, Michael Käunicke, Matthias Hailer, Birgit Vasc Health Risk Manag Original Research Acute and subacute ischemia of the legs in acute and subacute femoropopliteal bypass occlusion is a dramatic situation that endangers the survival of the limbs, depending on the severity of the ischemia. Different therapy options like percutaneous mechanical thrombectomy procedures, which include rotational thrombectomy, have become available in recent years, in addition to local lysis and surgical thrombectomy. Surgical thrombectomy using the Fogarty catheter technique, in particular, shows an increased incidence of perioperative complications but only small technical success rates in randomized trials. On the other hand, local lysis is associated with increased costs due to resource-consuming measures, such as intensive monitoring and repeat angiographies, in addition to bleeding complications. In the past, further development of the Straub Rotarex(®) system as an endovascular therapy option has demonstrated good success leading to amputation-free survival in multiple studies. At the same time, a low rate of complications with use has been documented. Most examinations have been conducted in the thigh. To date, there are little investigational data on its use in acutely and subacutely occluded femoropopliteal bypasses. In this paper, the current study-based significance of the Rotarex system for this indication is analyzed based on the existing literature and the authors’ own experiences with 22 patients. Dove Medical Press 2012 2012-05-04 /pmc/articles/PMC3363147/ /pubmed/22661895 http://dx.doi.org/10.2147/VHRM.S30819 Text en © 2012 Lichtenberg et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Lichtenberg, Michael Käunicke, Matthias Hailer, Birgit Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title | Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title_full | Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title_fullStr | Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title_full_unstemmed | Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title_short | Percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
title_sort | percutaneous mechanical thrombectomy for treatment of acute femoropopliteal bypass occlusion |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363147/ https://www.ncbi.nlm.nih.gov/pubmed/22661895 http://dx.doi.org/10.2147/VHRM.S30819 |
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