Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis

We describe our experience with the Indigo CATTM aspiration mechanical thrombectomy (AMT) system in 20 patients. A modification of the AMT technique was done in 7 patients (35%) whereby a snare was used instead of a separator. Technical success by intravascular ultrasound (IVUS) was noted in 8 patie...

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Bibliographic Details
Main Authors: Taimur Saleem, Robert Fuller, Seshadri Raju
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772687821000131
Description
Summary:We describe our experience with the Indigo CATTM aspiration mechanical thrombectomy (AMT) system in 20 patients. A modification of the AMT technique was done in 7 patients (35%) whereby a snare was used instead of a separator. Technical success by intravascular ultrasound (IVUS) was noted in 8 patients (40%) while symptom improvement was noted in all patients prior to discharge. In 4 patients (20%), occlusion was noted on first post-operative day ultrasound; remainder demonstrated venous patency. Snare use was associated with higher technical success (85.7% versus 15.4%, p = 0.004) and less procedural blood loss (235 ± 40 cc versus 300 ± 55 cc, p = 0.04) compared to the separator.
ISSN:2772-6878