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Updated: May 7, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
A new device for percutaneous mechanical thrombectomy in acute limb ischemia
Yukiko Honma1, Kazushi Urasawa, Katsuhiko Sato
1Cardiovascular Center, Tokeidai Memorial Hospital, Kita 1, Higashi 1, Chuo-ku, Sapporo, 060-0031, Japan, y-homma@tokeidaihosp.or.jp.
Acute limb ischemia caused by thromboembolism is an emergent and life-threatening disease. Rapid revascularization is inevitable to prevent major amputation. So far, thrombectomy by Fogarty balloon catheter has been a standard procedure for this emergent setting, though it is sometimes difficult to accomplish complete removal of thrombus within peripheral arteries. Herein, we report a case with acute limb ischemia which was successfully treated by a new mechanical thrombectomy device. This home-made device split thrombus into small pieces within arteries, and accelerated the efficiency of thrombus removal by an aspiration catheter thereafter.
Acute limb ischemia caused by thromboembolism is an emergent and life-threatening disease. Rapid revascularization is inevitable to prevent major amputation. So far, thrombectomy by Fogarty balloon catheter has been a standard procedure for this emergent setting, though it is sometimes difficult to accomplish complete removal of thrombus within peripheral arteries. Herein, we report a case with acute limb ischemia which was successfully treated by a new mechanical thrombectomy device. This home-made device split thrombus into small pieces within arteries, and accelerated the efficiency of thrombus removal by an aspiration catheter thereafter.

