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Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions
Joint Authors
Linhart, Ales
Heller, Samuel
Lubanda, Jean-Claude
Varejka, Petr
Chochola, Miroslav
Prochazka, Pavel
Rucka, David
Kuchynkova, Sylvie
Horakova, Johana
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-07
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Heller, Samuel& Lubanda, Jean-Claude& Varejka, Petr& Chochola, Miroslav& Prochazka, Pavel& Rucka, David…[et al.]. 2017. Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions. BioMed Research International،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1134682
Modern Language Association (MLA)
Heller, Samuel…[et al.]. Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions. BioMed Research International No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1134682
American Medical Association (AMA)
Heller, Samuel& Lubanda, Jean-Claude& Varejka, Petr& Chochola, Miroslav& Prochazka, Pavel& Rucka, David…[et al.]. Percutaneous Mechanical Thrombectomy Using Rotarex® S Device in Acute Limb Ischemia in Infrainguinal Occlusions. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1134682
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134682