Fluoroscopy-assisted dual-catheter thromboembolectomy: A new technique useful in patients with embolization to arteries of disproportionate diameters

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Fluoroscopy-assisted dual-catheter thromboembolectomy: A new technique useful in patients with embolization to arteries of disproportionate diameters T.L. Proffitt, MD, R.E. Noll, MD, R.J. Wilkerson, MD, W.Todd Bohannon, MD, M.B. Silva, MD Journal of Vascular Surgery Volume 37, Issue 4, Pages 899-901 (April 2003) DOI: 10.1067/mva.2003.204 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Dual catheter thromboembolectomy. A 3F catheter is advanced into the posterior tibial artery under fluoroscopic guidance, and a 5F catheter is parked in the anterior tibial artery. Care is taken never to inflate the 5F catheter in the tibial arteries. Journal of Vascular Surgery 2003 37, 899-901DOI: (10.1067/mva.2003.204) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Under fluoroscopic guidance the 3F catheter is carefully inflated and withdrawn without resistance into the popliteal artery. Journal of Vascular Surgery 2003 37, 899-901DOI: (10.1067/mva.2003.204) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Uninflated 5F catheter is positioned in popliteal artery before inflation, just below the 3F catheter and thrombus. Journal of Vascular Surgery 2003 37, 899-901DOI: (10.1067/mva.2003.204) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Two balloon catheters are inflated. The 5F device is positioned just below the 3F device, preventing loss of collected thrombus. Both catheters are withdrawn in tandem through the lumen of the popliteal artery aneurysm. Journal of Vascular Surgery 2003 37, 899-901DOI: (10.1067/mva.2003.204) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions