Acute pancreatitis: a complication associated with rheolytic mechanical thrombectomy of deep venous thrombosis Kenneth T. Piercy, MD, Juan Ayerdi, MD,

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Presentation transcript:

Acute pancreatitis: a complication associated with rheolytic mechanical thrombectomy of deep venous thrombosis Kenneth T. Piercy, MD, Juan Ayerdi, MD, Randolph L. Geary, MD, Kimberley J. Hansen, MD, Matthew S. Edwards, MD Journal of Vascular Surgery Volume 44, Issue 5, Pages 1110-1113 (November 2006) DOI: 10.1016/j.jvs.2006.06.030 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Serial computed tomography (CT) scans of patient 2. A, Scan immediately before mechanical thrombolysis shows normal-appearing pancreas. B, At approximately 12 hours after mechanical thrombolysis, scan reveals marked inflammatory changes are within the pancreas and peripancreatic fluid consistent with acute pancreatitis. C, CT scan 18 days postoperatively shows decreased inflammatory changes, organization of the peripancreatic fluid, and the interval development of two pancreatic pseudocysts. D, Deceased size of the pancreatic pseudocysts at 46 days postoperatively. Journal of Vascular Surgery 2006 44, 1110-1113DOI: (10.1016/j.jvs.2006.06.030) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 The AngioJet rheolytic system (Possis Medical, Minneapolis, Minn) functions by using a drive unit to generate pulsatile high-velocity saline jets with pressures upwards of 10,000 psi that are redirected at the catheter tip to a retrograde direction creating a low-pressure zone (Bernoulli-Venturi effect). This low-pressure zone results in thrombus maceration and evacuation through the catheter. (Image reproduced with permission from Possis Medical, Minneapolis, Minn from www.possis.com). Journal of Vascular Surgery 2006 44, 1110-1113DOI: (10.1016/j.jvs.2006.06.030) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions