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Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter

BACKGROUND: To summarize our experience of endovascular treatment for abdominal aorta saddle embolism (ASE) through percutaneous mechanical thrombectomy (PMT). METHODS: Clinical data of three ASE patients treated with an endovascular approach using percutaneous mechanical thrombectomy (PMT) were rev...

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Autores principales: Yu, Hong-Zhi, Guo, Xiao-Bo, Liu, Zhao, Zhang, Zhe, Feng, Hai, Chen, Xue-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526190/
https://www.ncbi.nlm.nih.gov/pubmed/32993712
http://dx.doi.org/10.1186/s13019-020-01334-5
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author Yu, Hong-Zhi
Guo, Xiao-Bo
Liu, Zhao
Zhang, Zhe
Feng, Hai
Chen, Xue-Ming
author_facet Yu, Hong-Zhi
Guo, Xiao-Bo
Liu, Zhao
Zhang, Zhe
Feng, Hai
Chen, Xue-Ming
author_sort Yu, Hong-Zhi
collection PubMed
description BACKGROUND: To summarize our experience of endovascular treatment for abdominal aorta saddle embolism (ASE) through percutaneous mechanical thrombectomy (PMT). METHODS: Clinical data of three ASE patients treated with an endovascular approach using percutaneous mechanical thrombectomy (PMT) were reviewed and analyzed. RESULTS: After PMT, blood flow of limbs was restored in all of the three patients. However, two patients died from sudden cardiac arrest caused by hyperkalemia several hours after the procedure. The other one patient survived through continuous renal replacement therapy, which was initialized shortly after the surgical procedure. CONCLUSION: Endovascular treatment through PMT can quickly restore blood flow in the ASE patients. Blood purification through renal replacement therapy is crucial to reduce mortality after restoring blood flow of the limbs.
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spelling pubmed-75261902020-09-30 Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter Yu, Hong-Zhi Guo, Xiao-Bo Liu, Zhao Zhang, Zhe Feng, Hai Chen, Xue-Ming J Cardiothorac Surg Research Article BACKGROUND: To summarize our experience of endovascular treatment for abdominal aorta saddle embolism (ASE) through percutaneous mechanical thrombectomy (PMT). METHODS: Clinical data of three ASE patients treated with an endovascular approach using percutaneous mechanical thrombectomy (PMT) were reviewed and analyzed. RESULTS: After PMT, blood flow of limbs was restored in all of the three patients. However, two patients died from sudden cardiac arrest caused by hyperkalemia several hours after the procedure. The other one patient survived through continuous renal replacement therapy, which was initialized shortly after the surgical procedure. CONCLUSION: Endovascular treatment through PMT can quickly restore blood flow in the ASE patients. Blood purification through renal replacement therapy is crucial to reduce mortality after restoring blood flow of the limbs. BioMed Central 2020-09-29 /pmc/articles/PMC7526190/ /pubmed/32993712 http://dx.doi.org/10.1186/s13019-020-01334-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Yu, Hong-Zhi
Guo, Xiao-Bo
Liu, Zhao
Zhang, Zhe
Feng, Hai
Chen, Xue-Ming
Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title_full Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title_fullStr Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title_full_unstemmed Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title_short Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter
title_sort endovascular treatment of aortic saddle embolism through percutaneous mechanical thrombectomy via straub rotarex catheter
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526190/
https://www.ncbi.nlm.nih.gov/pubmed/32993712
http://dx.doi.org/10.1186/s13019-020-01334-5
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