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Titolo:
Percutaneous hydromechanical thrombectomy in acute and subacute lower-limbischemia.
Autore:
Hopfner, W; Bohndorf, K; Vicol, C; Loeprecht, H;
Indirizzi:
Zentralklinikum Augsburg, Klin Diagn Radiol & Neuroradiol, D-86156 Augsburg, Germany Zentralklinikum Augsburg Augsburg Germany D-86156 6156 Augsburg, Germany Zentralklinikum Augsburg, Herzchirurg Klin, D-86156 Augsburg, Germany Zentralklinikum Augsburg Augsburg Germany D-86156 6156 Augsburg, Germany Zentralklinikum Augsburg, Klin Gefass & Thoraxchirurg, D-86156 Augsburg, Germany Zentralklinikum Augsburg Augsburg Germany D-86156 6156 Augsburg, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 3, volume: 173, anno: 2001,
pagine: 229 - 235
SICI:
1438-9029(200103)173:3<229:PHTIAA>2.0.ZU;2-A
Fonte:
ISI
Lingua:
GER
Soggetto:
MIDTERM FOLLOW-UP; HYDRODYNAMIC THROMBECTOMY; THROMBOLYTIC THERAPY; INITIAL TREATMENT; CATHETER; EXPERIENCE; THROMBOEMBOLECTOMY; EMBOLECTOMY; OCCLUSION; ARTERIES;
Keywords:
thrombosis; embolism; acute arterial occlusive disease; thrombectomy; arteries, percutaneuos treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Hopfner, W Zentralklinikum Augsburg, Klin Diagn Radiol & Neuroradiol, Stenglinstr 2, D-86156 Augsburg, Germany Zentralklinikum Augsburg Stenglinstr 2Augsburg Germany D-86156
Citazione:
W. Hopfner et al., "Percutaneous hydromechanical thrombectomy in acute and subacute lower-limbischemia.", ROFO-F RONT, 173(3), 2001, pp. 229-235

Abstract

Purpose: A prospective study should evaluate the primary and 2-year results of treating acute and subacute lower-limb ischemia with hydromechanical thrombectomy (HTE). Materials and Methods: Consecutively 64 patients, 12 with viable and 52 with threatening limb ischemia and onset of symptoms within8 +/- 9 days, were treated and controlled for 24 months. An 8 F hydromechanical thrombectomy device (HTK), was used. It sucks and shreds the thrombi. The shredded particles are transported to the outside. Results: In 8 patients a total, in the others a partial restoration of the vessel lumen up to 70-50 % was achieved in a mean time of 34 minutes. Residual thrombi, underlying atherosclerotic Vessel disease and occluded arteries with a small diameter made adjunctive interventions (balloon angioplasty, percutaneous aspiration thrombectomy, lysis) necessary. Clinical symptoms and the ankle-brachial index improved significantly (p<0.01). Primary patency was 72 %, 70 %, 67 %, and 65 %; the limb salvage rates were 81 %, 78 %, 75 %, and 73 % for one, 3, 12, and 24 months respectively. Device-induced complications did not occur. Conclusions: The HTK allowed a rapid reduction of fresh thromboticmaterial without complications. In 78 % of the cases adjunctive therapies are required for wall-adherent thrombi and when tibial vessels with smallerlumina are included. Longterm results are comparable to literature data for fibrinolytic or operative regimens. The advantage, however of the HTK seems to be the reduction of intervention time and intra-arterial dosage of fibrinolytic drugs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 13:26:33