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[Treatment of peripheral arterial thromboembolic occlusions using a new percutaneous mechanical thrombectomy system]
H Krankenberg1, I Gehrt, I Sorge
1Universität Leipzig, Herzzentrum GmbH, Klinik für Kardiologie/Innere Medizin. kranh@medizin.uni-leipzig.de
Purpose:
We report our experience with a new percutaneous thrombectomy device for the treatment of thromboembolic occlusions of peripheral arteries.
Material And Methods:
Between November 1999 and May 2000 12 patients (10 male) with thromboembolic occlusions of peripheral arteries were treated. 8 occlusions were located in the femoral and popliteal arteries, 3 in the infrapopliteal vessels and 1 in the brachial artery. In all cases a new 6 F-catheter with a rotational screw and a suction vacuum unit was used.
Results:
The intervention was successful in 11 patients. 1 patient with a failed procedure had a duration of occlusion > 90 days. There were no complications. All patients were discharged on the same or the following day.
Conclusion:
Percutaneous treatment with the thrombectomy device is a feasible option in a small group of patients with thromboembolic occlusions of the peripheral arteries. Often additional treatment is necessary. The major indication seems to be acute thrombosis. The procedure is easy and safe to apply.