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Recanalisation of thrombotic arterial occlusions with rotational thrombectomy.
Laganà, D; Carrafiello, G; Lumia, D; Fontana, F; Mangini, M; Vizzari, F A; Piffaretti, G; Fugazzola, C.
Afiliação
  • Laganà D; Department of Radiology, University of Insubria, V.le Borri 57, Varese, Italy. donlaga@gmail.com
Radiol Med ; 116(6): 932-44, 2011 Sep.
Article em En, It | MEDLINE | ID: mdl-21311991
ABSTRACT

PURPOSE:

This study sought to assess the effectiveness of rotational thrombectomy (RT) with the Rotarex device in the treatment of thrombotic occlusions in native arteries, by-pass grafts, stents and stent-grafts. MATERIALS AND

METHODS:

Over the last 4 years, 22 patients (14 men and 8 women; mean age 62.6 years) affected by 5 acute (<14 days) thrombotic occlusions of the native arteries (4 plaque thromboses in the common iliac artery and one on a dissection intimal flap of the external iliac artery), 17 subacute and chronic thromboses affecting 4 femoro-popliteal by-pass grafts, 10 stents (7 in the common iliac artery and 3 in the superficial femoral artery) and 3 stents-grafts were studied. Acute thromboses of native arteries were follow-up with colour-Doppler ultrasound (US) examination at 1 and 3 months. Subacute and chronic thrombotic occlusions were follow-up with colour-Doppler US examination at 1, 3, 6 and 12 months and yearly thereafter.

RESULTS:

Immediate technical success was achieved without any need for additional procedures in all acute occlusions of native arteries (4/22 cases). In the subacute and chronic occlusions, the procedure was completed with percutaneous transluminal angioplasty (PTA) (8/22), cutting balloon (6/22) and stenting (5/22). The complication rate was 4.8% (1 rupture of the external iliac artery repaired with a stent-graft).

CONCLUSIONS:

Arterial recanalisation with RT is the treatment of choice for acute thrombosis of healthy native arteries (4-7 mm); the treatment of thrombosis complicating calcified plaques or dissection intimal flaps may cause rupture of the arterial wall. In subacute and chronic occlusions of by-pass grafts, stents and stent grafts, additional procedures are necessary to achieve complete recanalisation.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Arteriopatias Oclusivas / Trombose / Trombectomia / Artéria Ilíaca Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En / It Ano de publicação: 2011 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Arteriopatias Oclusivas / Trombose / Trombectomia / Artéria Ilíaca Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En / It Ano de publicação: 2011 Tipo de documento: Article