Multimodal thrombectomy device for treatment of acute deep venous thrombosis

Usama Ismail1, Roger A Rowe1, John Cashin2

  • 1Caeli Vascular, Inc., St. Louis, USA.

Scientific Reports
|March 30, 2022
PubMed

Insights

A novel thrombectomy device sequesters deep vein thrombosis (DVT) during treatment, reducing clot embolization and preserving vein diameter. This approach shows promise for treating large-volume DVTs safely and effectively.

Area of Science:

  • Vascular Surgery
  • Medical Device Innovation
  • Thrombosis Research

Background:

  • Deep vein thrombosis (DVT) is a serious condition involving blood clots in deep veins, posing risks of pulmonary embolism (PE) and death.
  • Current DVT treatments have limitations in effectiveness and safety due to the inability to isolate the treatment area.
  • Thousands of Americans are affected annually by DVT, incurring significant treatment costs.

Purpose of the Study:

  • To develop and evaluate a novel thrombectomy device designed for sequestering deep vein thrombosis (DVT) during fragmentation and evacuation.
  • To assess the safety and efficacy of this sequestered approach compared to existing thrombectomy methods.

Main Methods:

  • A novel thrombectomy device was engineered to create a defined, sequestered treatment zone for DVT.
  • Ex vivo thrombectomy procedures were performed using the novel device and a predicate device for comparison.
  • Key outcomes measured included distal DVT embolization and impact on vein wall diameter during isovolumetric infusion and suction.

Main Results:

  • The sequestered thrombectomy approach significantly reduced distal DVT embolization compared to the predicate device.
  • Isovolumetric infusion and suction facilitated effective clearance of the sequestered treatment zone.
  • The novel device maintained vein wall diameter without significant adverse impact during the procedure.

Conclusions:

  • The novel sequestered thrombectomy device demonstrates potential for improved safety and efficacy in DVT treatment.
  • This approach offers a promising solution for managing high-risk, large-volume deep vein thromboses.
  • Further investigation into this innovative therapeutic strategy is warranted.

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