Cargando…
Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries
AIM: To examine the efficacy and safety of the 6 French (6F) Rotarex(®)S catheter system in patients with acute limb ischemia (ALI) involving thromboembolic occlusion of the proximal and mid-crural vessels. METHODS: The files of patients in our department with ALI between 2015 and 2017 were examined...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205845/ https://www.ncbi.nlm.nih.gov/pubmed/30386492 http://dx.doi.org/10.4330/wjc.v10.i10.145 |
_version_ | 1783366246177177600 |
---|---|
author | Giusca, Sorin Raupp, Dorothea Dreyer, Dirk Eisenbach, Christoph Korosoglou, Grigorios |
author_facet | Giusca, Sorin Raupp, Dorothea Dreyer, Dirk Eisenbach, Christoph Korosoglou, Grigorios |
author_sort | Giusca, Sorin |
collection | PubMed |
description | AIM: To examine the efficacy and safety of the 6 French (6F) Rotarex(®)S catheter system in patients with acute limb ischemia (ALI) involving thromboembolic occlusion of the proximal and mid-crural vessels. METHODS: The files of patients in our department with ALI between 2015 and 2017 were examined. In seven patients, the Rotarex(®)S catheter was used in the proximal segment of the crural arteries. Data related to the clinical examination, Doppler sonography, angiography and follow-up from these patients were further used for analysis. RESULTS: Two patients (29%) had thrombotic occlusion of the common femoral artery, and the remaining five exhibited thrombosis of the superficial femoral artery and popliteal artery. Mechanical thrombectomy was performed in all cases using a 6F Rotarex(®)S catheter. Additional Rotarex(®)S catheter thrombectomy due to remaining thrombus formation with no reflow was performed in the anterior tibial artery in two of seven cases (29%), in the tibiofibular tract and posterior tibial artery in two of seven cases (29%) and in the tibiofibular tract and fibular artery in the remaining three of seven cases (43%). Ischemic symptoms resolved promptly in all, and none of the patients experienced a procedural complication, such as crural vessel dissection, perforation or thrombus embolization. CONCLUSION: Mechanical debulking using the 6F Rotarex(®)S catheter system may be a safe and effective treatment option in case of thrombotic or thromboembolic occlusion of the proximal and mid-portion of crural arteries. |
format | Online Article Text |
id | pubmed-6205845 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-62058452018-10-31 Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries Giusca, Sorin Raupp, Dorothea Dreyer, Dirk Eisenbach, Christoph Korosoglou, Grigorios World J Cardiol Observational Study AIM: To examine the efficacy and safety of the 6 French (6F) Rotarex(®)S catheter system in patients with acute limb ischemia (ALI) involving thromboembolic occlusion of the proximal and mid-crural vessels. METHODS: The files of patients in our department with ALI between 2015 and 2017 were examined. In seven patients, the Rotarex(®)S catheter was used in the proximal segment of the crural arteries. Data related to the clinical examination, Doppler sonography, angiography and follow-up from these patients were further used for analysis. RESULTS: Two patients (29%) had thrombotic occlusion of the common femoral artery, and the remaining five exhibited thrombosis of the superficial femoral artery and popliteal artery. Mechanical thrombectomy was performed in all cases using a 6F Rotarex(®)S catheter. Additional Rotarex(®)S catheter thrombectomy due to remaining thrombus formation with no reflow was performed in the anterior tibial artery in two of seven cases (29%), in the tibiofibular tract and posterior tibial artery in two of seven cases (29%) and in the tibiofibular tract and fibular artery in the remaining three of seven cases (43%). Ischemic symptoms resolved promptly in all, and none of the patients experienced a procedural complication, such as crural vessel dissection, perforation or thrombus embolization. CONCLUSION: Mechanical debulking using the 6F Rotarex(®)S catheter system may be a safe and effective treatment option in case of thrombotic or thromboembolic occlusion of the proximal and mid-portion of crural arteries. Baishideng Publishing Group Inc 2018-10-26 2018-10-26 /pmc/articles/PMC6205845/ /pubmed/30386492 http://dx.doi.org/10.4330/wjc.v10.i10.145 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Observational Study Giusca, Sorin Raupp, Dorothea Dreyer, Dirk Eisenbach, Christoph Korosoglou, Grigorios Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title | Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title_full | Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title_fullStr | Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title_full_unstemmed | Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title_short | Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
title_sort | successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205845/ https://www.ncbi.nlm.nih.gov/pubmed/30386492 http://dx.doi.org/10.4330/wjc.v10.i10.145 |
work_keys_str_mv | AT giuscasorin successfulendovasculartreatmentinpatientswithacutethromboembolicischemiaofthelowerlimbincludingthecruralarteries AT rauppdorothea successfulendovasculartreatmentinpatientswithacutethromboembolicischemiaofthelowerlimbincludingthecruralarteries AT dreyerdirk successfulendovasculartreatmentinpatientswithacutethromboembolicischemiaofthelowerlimbincludingthecruralarteries AT eisenbachchristoph successfulendovasculartreatmentinpatientswithacutethromboembolicischemiaofthelowerlimbincludingthecruralarteries AT korosoglougrigorios successfulendovasculartreatmentinpatientswithacutethromboembolicischemiaofthelowerlimbincludingthecruralarteries |