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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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
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author Taimur Saleem
Robert Fuller
Seshadri Raju
author_facet Taimur Saleem
Robert Fuller
Seshadri Raju
author_sort Taimur Saleem
collection DOAJ
description 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.
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spelling doaj.art-7d1405b57e37419fba690eb20b404e272023-07-04T05:11:32ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782021-12-0112100012Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosisTaimur Saleem0Robert Fuller1Seshadri Raju2Corresponding author.; The RANE Center for Venous and Lymphatic Diseases, 971 Lakeland Drive, Ste 401, Jackson, MS 39216, United StatesThe RANE Center for Venous and Lymphatic Diseases, 971 Lakeland Drive, Ste 401, Jackson, MS 39216, United StatesThe RANE Center for Venous and Lymphatic Diseases, 971 Lakeland Drive, Ste 401, Jackson, MS 39216, United StatesWe 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.http://www.sciencedirect.com/science/article/pii/S2772687821000131IVUSIntravascular ultrasoundAcute deep venous thrombosisAspiration mechanical thrombectomySnare
spellingShingle Taimur Saleem
Robert Fuller
Seshadri Raju
Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
Annals of Vascular Surgery - Brief Reports and Innovations
IVUS
Intravascular ultrasound
Acute deep venous thrombosis
Aspiration mechanical thrombectomy
Snare
title Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
title_full Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
title_fullStr Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
title_full_unstemmed Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
title_short Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
title_sort aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis
topic IVUS
Intravascular ultrasound
Acute deep venous thrombosis
Aspiration mechanical thrombectomy
Snare
url http://www.sciencedirect.com/science/article/pii/S2772687821000131
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