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Titolo:
In vitro evaluation of different embolectomy catheters for the treatment of acute pulmonary embolism.
Autore:
Zwaan, M; Kripke, N; Lorch, H; Weiss, HD;
Indirizzi:
Inst Diagnost & Intervent Radiol Kernspintomog &, Ammerland Klin, D-26655 Westerstede, Germany Inst Diagnost & Intervent Radiol Kernspintomog & Westerstede Germany D-26655 Univ Lubeck, Inst Radiol, D-2400 Lubeck, Germany Univ Lubeck Lubeck Germany D-2400 k, Inst Radiol, D-2400 Lubeck, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 6, volume: 171, anno: 1999,
pagine: 485 - 491
SICI:
0936-6652(199912)171:6<485:IVEODE>2.0.ZU;2-B
Fonte:
ISI
Lingua:
GER
Soggetto:
AMPLATZ THROMBECTOMY DEVICE; MECHANICAL THROMBECTOMY; FRAGMENTATION; DIAGNOSIS; PREVENTION; EXPERIENCE; THERAPY;
Keywords:
pulmonary embolism; percutaneous embolectomy; in vitro model;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Zwaan, M Inst Diagnost & Intervent Radiol Kernspintomog &, Ammerland Klin,Lange Str 38, D-26655 Westerstede, Germany Inst Diagnost & Intervent Radiol Kernspintomog & Lange Str 38 Westerstede Germany D-26655
Citazione:
M. Zwaan et al., "In vitro evaluation of different embolectomy catheters for the treatment of acute pulmonary embolism.", ROFO-F RONT, 171(6), 1999, pp. 485-491

Abstract

Introduction: Pulmonary embolism (PE) ist one of the most common cardiovascular diseases and frequently causes death. As a rule, PE is treated with thrombolytic therapy or surgical thrombectomy. Materials and Methods: In an in vitro model of the right lung, we tested four different percutaneous transluminal thrombectomy devices: a pigtail-catheter with an angled 3-cm (40 degrees) distal tip, the clot-buster, the hydrolyser catheter, and a modified hydrolyser. In 16 consecutive and repetitive experiments fresh thrombi were inserted and we evaluated the effectiveness of the system with respect to time, fragment size, reduction of the Miller score, and handling. Results: Mean intervention times of the catheter systems were 23 min (pigtail), 14.4 min (modified hydrolyser), 13.8 min (clot-buster), and 10.8 min (hydrolyser). The maximum size of the produced fragments range from 0.5 to 3.5 mm by the pigtail and from 0.5 to 1 mm by the other systems. The Miller score reduction was from 14.4 to 2.8 (pigtail), 13.8 to 1.8 (clot-busters), 14.6 to 1.2 (hydrolyser), and 16.4 to 1 (modified hydrolyser). Discussion: All four catheter systems were effective in the treatment of pulmonary embolism. The pigtail catheter is the most simple system but more time consuming andless effective in the fragmentation of emboli and reduction of the Miller score compared to the other three catheter systems. These systems were comparable in our model but especially the handling of the hydrolyser was encouraging.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 16:57:04