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Treatment of infrainguinal thromboembolic complications during peripheral endovascular procedures with AngioJet rheolytic thrombectomy, intraoperative.

Published byΜελέτη Βουγιουκλάκης Modified over 5 years ago

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Presentation on theme: "Treatment of infrainguinal thromboembolic complications during peripheral endovascular procedures with AngioJet rheolytic thrombectomy, intraoperative."— Presentation transcript:

1 Treatment of infrainguinal thromboembolic complications during peripheral endovascular procedures with AngioJet rheolytic thrombectomy, intraoperative thrombolysis, and selective stenting  Stavros Spiliopoulos, MD, PhD, EBIR, Konstantinos Katsanos, MD, PhD, EBIR, George Fragkos, MD, Dimitrios Karnabatidis, MD, PhD, EBIR, Dimitrios Siablis, MD, PhD, EBIR  Journal of Vascular Surgery  Volume 56, Issue 5, Pages (November 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Images show (A) preprocedural digital subtraction angiography (DSA) of the distal posterior artery, (B) an acute embolization of the distal segment of the posterior tibial artery, (C) the AngioJet catheter operating within the occluded arterial segment at the level of the ankle, and (D) post-AngioJet thrombectomy demonstrating the recanalized distal posterior tibial artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Kaplan-Meier analysis plots show (A) target vessel primary patency and (B) patient survival. The dotted lines indicate the standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Angiographic image demonstrates the subintimal recanalization of the femoropopliteal axis using a dedicated Outback LTD (Cordis, Miami Lakes, Fla) re-entry catheter (arrow). Note the inch guidewire in the popliteal artery (dashed arrow). B, Selective duplex substraction angiography (DSA) image of the abrupt intraprocedural occlusion of the tibial trifurcation after balloon angioplasty of the femoropopliteal axis. C, AngioJet thrombectomy of the anterior tibial artery (arrow) is shown under filter protection (dashed arrow). D, DSA image after AngioJet thrombectomy indicating remaining occlusive material in the proximal one-third of the anterior (arrow) and posterior (dashed arrow) tibial arteries. E, Final DSA image demonstrates the patency of the anterior and posterior tibial arteries. The remaining thrombus was removed from the anterior tibial artery using one additional AngioJet passage and adjunctive local thrombolysis, while a sirolimus-eluting stent was used to trap the atheroembolic material against the posterior tibial artery wall (arrow). F, Final DSA image demonstrates a two-vessel runoff. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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