Related Experiment Video
Updated: May 25, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Endovascular popliteal thrombectomy using the self-expanding, retrievable Solitaire recanalization device
Marius C Wick1, Josef Klocker, Werner Jaschke
1Department of Radiology, Innsbruck Medical University, Innsbruck, Austria. marius.wick@i-med.ac.at
Summary
The Solitaire FR Recanalization Device successfully treated acute below-the-knee arterial occlusion in a patient with limb ischemia when other methods failed. This endovascular approach offers a new option for acute limb ischemia.
Area of Science:
- Vascular Surgery
- Endovascular Therapy
- Interventional Radiology
Background:
- Acute peripheral limb ischemia (APLI) poses a significant clinical challenge.
- Endovascular thrombectomy is a primary treatment modality for APLI.
- The Solitaire FR Recanalization Device is a self-expanding, detachable, and retrievable stent-based system.
Observation:
- A 79-year-old woman with a history of peripheral arterial occlusive disease presented with grade IIb left lower leg ischemia.
- Angiography revealed thrombotic occlusion of the tibioperoneal trunk.
- Suction thrombectomy was unsuccessful in restoring blood flow.
Findings:
- The Solitaire FR Recanalization Device was deployed to retrieve the thrombus.
- Immediate recanalization of the tibioperoneal trunk was achieved.
- Clinical signs of ischemia resolved, with no reocclusion at 6-month follow-up.
Implications:
- The Solitaire FR Recanalization Device demonstrates potential for treating acute below-the-knee arterial thrombotic occlusions.
- This device may serve as an alternative endovascular option for APLI when suction thrombectomy fails.
- Successful application could potentially avoid more invasive surgical interventions in selected cases.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...