Disconnection of the rubber tip of arrow-trerotola percutaneous thrombolytic device

Han Myun Kim1, Hyo-Cheol Kim2, Sungmin Woo2

  • 1Department of Radiology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 150-950, Korea.

Insights

Rubber tip disconnection of the Arrow-Trerotola percutaneous thrombolytic device (PTD) can occur. This report details five cases during mechanical thrombectomy, exploring potential causes for this PTD complication.

Area of Science:

  • Medical Devices
  • Interventional Neurology
  • Vascular Surgery

Background:

  • Mechanical thrombectomy is a key treatment for acute ischemic stroke.
  • The Arrow-Trerotola percutaneous thrombolytic device (PTD) is utilized in thrombectomy procedures.
  • Device integrity is crucial for procedural success and patient safety.

Observation:

  • A specific complication involving rubber tip disconnection from the PTD was observed.
  • This disconnection occurred in 5 out of 453 mechanical thrombectomy sessions.
  • The incidents highlight a potential failure mode of the PTD.

Findings:

  • The study reports five instances of rubber tip disconnection during PTD use.
  • Analysis suggests potential mechanical stresses or manufacturing defects as causes.
  • Understanding these factors is vital for preventing PTD failure.

Implications:

  • Device manufacturers should investigate and address the causes of tip disconnection.
  • Clinicians should be aware of this potential PTD complication.
  • Further research may refine PTD design and improve thrombectomy safety.