1. Complications during percutaneous mechanical thrombectomy in complex bypass occlusion Bruno Migliara, MD, PhD Vascular and Endovascular Surgery Department Pederzoli Hospital Peschiera del Garda

2. Potential conflicts of interest Speaker's name: Migliara Bruno X I do not have any potential conflict of interest

3. Personal experience April 2014 – August 2015 (16 months) Procedural success rate 100% 3 Occlusions at 30 days (14,3%) Median follow-up = 96.4 days (25-285) 21 occluded bypass grafts 18 male / 3 female 70,4 years (61-80) ROTAREX S 6F/8F 40.000 rmp

4. Personal experience April 2014 – August 2015 (16 months) Amputation free survival = 95,7% No major complications 5 minor complications Average time to restore distal flow = 13,4 min

5. Distal native artery dissection (2 cases) Codis Smartflex 5 x 60 mm

6. Distal native artery perforation (1 case) Coronary covered stent Bentley Innomed 3.5 x 18 mm

7. Vein bypass perforation (1 case) Covered stent Viabahn GORE 5 x 100 mm

8. Distal embolization (1 case) Manual thromboaspiration + Local infusion UK

9. Conclusions Procedural success rate = 100% Amputation free survival = 95,7% Not major complications: death, cerebral haemorrhage, haemorrhage with transfusion Only minor complications with complete resolution during the procedure Rapid restoration of distal blood flow