Treatment of acute limb ischemia with a percutaneous mechanical thrombectomy-based endovascular approach: 5-year limb salvage and survival results from a single center series

2008 ◽  
Vol 72 (3) ◽  
pp. 325-330 ◽  
Author(s):  
Gary M. Ansel ◽  
Charles F. Botti ◽  
Mitchell J. Silver
Keyword(s):  
Limb Salvage ◽  
Mechanical Thrombectomy ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Single Center ◽  
Percutaneous Mechanical Thrombectomy ◽  
Endovascular Approach

scholarly journals Catheter-directed thrombolysis versus percutaneous mechanical thrombectomy in the management of acute limb ischemia: a single center review

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Ravi Kumar Muli Jogi ◽  
Karthikeyan Damodharan ◽  
Hing Lun leong ◽  
Allison Chek Swee Tan ◽  
Sivanathan Chandramohan ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Single Center ◽  
Percutaneous Mechanical Thrombectomy ◽  
Catheter Directed Thrombolysis

scholarly journals Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Samuel Heller ◽  
Jean-Claude Lubanda ◽  
Petr Varejka ◽  
Miroslav Chochola ◽  
Pavel Prochazka ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Limb Ischemia ◽  
Performance Outcomes ◽  
Amputation Rate ◽  
Acute Limb Ischemia ◽  
Line Treatment ◽  
First Line ◽  
Invasive Treatment ◽  
Percutaneous Mechanical Thrombectomy ◽  
First Line Treatment

Purpose. To evaluate the effectiveness of percutaneous mechanical thrombectomy using Rotarex S in the treatment of acute limb ischemia (ALI) in infrainguinal occlusions in a retrospective study of patients treated in our institution. Methods. In this study, we identified a total of 147 ALI patients that underwent mechanical thrombectomy using Rotarex S at our institution. In 82% of the cases, percutaneous thrombectomy was used as first-line treatment, and for the remainder of the cases, it was used as bailout after ineffective aspiration or thrombolysis. Additional fibrinolysis and adjunctive aspirational thrombectomy were utilized for outflow occlusion when required. Procedural outcomes, amputation rate, and mortality at 30 days were evaluated. Results. Of the 147 patients treated with mechanical thrombectomy, Rotarex S was used as first-line treatment in 120 cases and as second-line treatment in 27 cases. Overall, we achieved 90.5% procedural revascularization success rate when combining mechanical thrombectomy with limited thrombolysis for severe outflow obstruction, and 1 death and 3 amputations were observed. We achieved primary success in 68.7% of the patients with the mechanical thrombectomy only, and in 21.8% of the patients, we successfully used additional limited thrombolysis in the outflow. The overall mortality was 0.7% and amputation rate was 2% at 30 days. Conclusion. Percutaneous mechanical thrombectomy as first-line mini-invasive treatment in infrainguinal ALI is safe, quick, and effective, and the performance outcomes can be superior to that of traditional surgical embolectomy.

Endovascular Approach for Acute Limb İschemia: Mechanical Thrombectomy With Angiojettm Thrombectomy System

2018 ◽  
Vol 121 (8) ◽  
pp. e162
Author(s):  
Onur Saydam ◽  
Deniz Serefli ◽  
Aysen Yaprak Engin ◽  
Mehmet Atay ◽  
Ayse Gul Kunt
Keyword(s):  
Mechanical Thrombectomy ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Endovascular Approach

Treatment of acute limb ischemia with focus on endovascular techniques

VASA ◽  
2009 ◽  
Vol 38 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Zeller ◽  
Tepe
Keyword(s):  
Randomized Trials ◽  
Mechanical Thrombectomy ◽  
Clinical Presentation ◽  
Patient Survival ◽  
Treatment Options ◽  
Limb Ischemia ◽  
Bleeding Complications ◽  
Acute Limb Ischemia ◽  
Endovascular Techniques ◽  
Local Lysis

Acute limb ischemia is still the most frequent cause of major limb loss. Timely and fast revascularization is the key for limb salvage and patient survival. Large randomized trials showed equivalency of surgical and endovascular revascularization by means of local lysis with urokinase (TOPAS, STILE). New lytic agents and their modified application such as via a pulse spray catheter or combined with an ultrasound catheter and the combination with glycoprotein IIb/IIIa receptor antagonists have increased the efficacy and speed of thrombolysis. Recently, mechanical thrombectomy devices have become more widespread because intervention time and bleeding complications can be reduced. This review article summarizes the clinical presentation of and the treatment options for acute arterial occlusive disease caused either by embolism or local thrombosis.

scholarly journals Safety of transfer, type of procedure, and factors predictive of limb salvage in a modern series of acute limb ischemia

2019 ◽  
Vol 69 (4) ◽  
pp. 1174-1179 ◽  
Author(s):  
Jake Hemingway ◽  
Davidson Emanuels ◽  
Shahram Aarabi ◽  
Elina Quiroga ◽  
Nam Tran ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Limb Ischemia ◽  
Acute Limb Ischemia

scholarly journals FT17. Factors Predicting Limb Salvage in Acute Limb Ischemia Treated at a Tertiary Referral Center

2017 ◽  
Vol 65 (6) ◽  
pp. 22S-23S
Author(s):  
Shahram Aarabi ◽  
David Emanuels ◽  
Elina Quiroga ◽  
Nam Tran ◽  
Benjamin W. Starnes ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center
Sign in / Sign up

Export Citation Format

Share Document