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Multimodal thrombectomy device for treatment of acute deep venous thrombosis

Deep vein thrombosis (DVT) is a potentially deadly medical condition that is costly to treat and impacts thousands of Americans every year. DVT is characterized by the formation of blood clots within the deep venous system of the body. If a DVT dislodges it can lead to venous thromboembolism (VTE) a...

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Autores principales: Ismail, Usama, Rowe, Roger A., Cashin, John, Genin, Guy M., Zayed, Mohamed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8964697/
https://www.ncbi.nlm.nih.gov/pubmed/35351922
http://dx.doi.org/10.1038/s41598-022-09001-6
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author Ismail, Usama
Rowe, Roger A.
Cashin, John
Genin, Guy M.
Zayed, Mohamed A.
author_facet Ismail, Usama
Rowe, Roger A.
Cashin, John
Genin, Guy M.
Zayed, Mohamed A.
author_sort Ismail, Usama
collection PubMed
description Deep vein thrombosis (DVT) is a potentially deadly medical condition that is costly to treat and impacts thousands of Americans every year. DVT is characterized by the formation of blood clots within the deep venous system of the body. If a DVT dislodges it can lead to venous thromboembolism (VTE) and pulmonary embolism (PE), both of which can lead to significant morbidity or death. Current treatment options for DVT are limited in both effectiveness and safety, in part because the treatment of the DVT cannot be confined to a defined sequestered treatment zone. We therefore developed and tested a novel thrombectomy device that enables the sequesteration of a DVT to a defined treatment zone during fragmentation and evacuation. We observed that, compared to a predicate thrombectomy device, the sequestered approach reduced distal DVT embolization during ex vivo thrombectomy. The sequestered approach also facilitated isovolumetric infusion and suction that enabled clearance of the sequestered treatment zone without significantly impacting vein wall diameter. Results suggest that our novel device using sequestered therapy holds promise for the treatment of high risk large-volume DVTs.
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spelling pubmed-89646972022-03-30 Multimodal thrombectomy device for treatment of acute deep venous thrombosis Ismail, Usama Rowe, Roger A. Cashin, John Genin, Guy M. Zayed, Mohamed A. Sci Rep Article Deep vein thrombosis (DVT) is a potentially deadly medical condition that is costly to treat and impacts thousands of Americans every year. DVT is characterized by the formation of blood clots within the deep venous system of the body. If a DVT dislodges it can lead to venous thromboembolism (VTE) and pulmonary embolism (PE), both of which can lead to significant morbidity or death. Current treatment options for DVT are limited in both effectiveness and safety, in part because the treatment of the DVT cannot be confined to a defined sequestered treatment zone. We therefore developed and tested a novel thrombectomy device that enables the sequesteration of a DVT to a defined treatment zone during fragmentation and evacuation. We observed that, compared to a predicate thrombectomy device, the sequestered approach reduced distal DVT embolization during ex vivo thrombectomy. The sequestered approach also facilitated isovolumetric infusion and suction that enabled clearance of the sequestered treatment zone without significantly impacting vein wall diameter. Results suggest that our novel device using sequestered therapy holds promise for the treatment of high risk large-volume DVTs. Nature Publishing Group UK 2022-03-28 /pmc/articles/PMC8964697/ /pubmed/35351922 http://dx.doi.org/10.1038/s41598-022-09001-6 Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2022 https://creativecommons.org/licenses/by/4.0/ 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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Ismail, Usama
Rowe, Roger A.
Cashin, John
Genin, Guy M.
Zayed, Mohamed A.
Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title_full Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title_fullStr Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title_full_unstemmed Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title_short Multimodal thrombectomy device for treatment of acute deep venous thrombosis
title_sort multimodal thrombectomy device for treatment of acute deep venous thrombosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8964697/
https://www.ncbi.nlm.nih.gov/pubmed/35351922
http://dx.doi.org/10.1038/s41598-022-09001-6
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