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Titolo:
The Straub-Rotarex (TM) thrombectomy device: first experience
Autore:
Zeller, T; Muller, C; Frank, U; Burgelin, KH; Horn, B; Roskamm, H;
Indirizzi:
Herz Zentrum Bad Krozingen, Sekt Klin & Interventionelle Angiol, Bad Krozingen, Germany Herz Zentrum Bad Krozingen Bad Krozingen Germany Bad Krozingen, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 7, volume: 173, anno: 2001,
pagine: 626 - 631
SICI:
1438-9029(200107)173:7<626:TS(TDF>2.0.ZU;2-H
Fonte:
ISI
Lingua:
GER
Soggetto:
SURGICAL REVASCULARIZATION; THROMBOLYSIS; OCCLUSION; CATHETER; ARTERY; ISCHEMIA; TRIAL;
Keywords:
Straub-Rotarex (TM) catheter; catheter embolectomy; (sub)acute occlusion; arterial thrombosis; femoropopliteal arteries;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Zeller, T Herz Zentrum Bad Krozingen, Sekt Angiol, Sudring 15, D-79189 BadKrozingen, Germany Herz Zentrum Bad Krozingen Sudring 15 Bad Krozingen Germany D-79189
Citazione:
T. Zeller et al., "The Straub-Rotarex (TM) thrombectomy device: first experience", ROFO-F RONT, 173(7), 2001, pp. 626-631

Abstract

Background: To evaluate the efficacy, safety and limitations of a new rotational thrombectomy device (Straub-Rotarex (TM)) in clinical practice. Material and Methods: The Straub-Rotarex (TM) catheter is a new, wire-guided rotational thrombectomy device for the treatment of acute and subacute occlusions of the femoro-popliteal arteries. Over a 6-month period, 28 patients (64% male, mean age 69 +/-9.5, 51-91 years) with 31 legs, mean duration of occlusion 4.4 +/-4 (0-20) weeks, mean occlusion length 22 +/- 11 (5-40) cm were treated with the device, 5 of them in a cross-over technique. Target lesions: Aortic-femoral bypass, common iliac artery, external iliac artery, common femoral artery: I each, superficial femoral artery: 23, popliteal artery: 17. Initial stage of claudication: IIa: 6%, IIb: 72%, III: 16%, IV: 6%. Results: Primary success rate: 90% (ipsilateral: 100%, cross-over: 40%). Stage of claudication after intervention: I: 85%, IIa: 7%, III: 4%, IV 4%, one amputation. 3-months follow-up: stage I: 86% (n = 24), IIa: 14% (n = 4), one femoro-popliteal bypass. Restenosis rate 18%. 6-months followup: stage I: 56% (n = 9), IIa: 31% (n = 5), IIb: 13% (n = 2). Restenosis rate 56 %. Complications: 32 % (5 perforations, three cases of embolism after PTA, one wire-induced dissection, one retroperitoneal bleeding coming from the puncture site). Conclusions: The new device is a useful tool for the treatmentof (sub)acute long-distance occlusions of the SFA and popliteal artery andin-stent restenoses as well in antegrade technique. Main complications areperforations. Cross-over interventions can only be done in special cases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 08:24:08