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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Percutaneous Aortoiliac Thromboendarterectomy for Acute Limb Ischemia
Eleanor Dunlap1, Robert Conway1, Lauren Conway1
1University of Maryland Medical Center, Baltimore, MD, USA.
Insights
New minimally invasive techniques offer effective treatment for aortoiliac occlusive disease (AIOD). This case study highlights mechanical thrombectomy using the Inari ClotTriever and ARTIX systems for AIOD and limb ischemia.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Therapy
Background:
- Aortoiliac occlusive disease (AIOD) traditionally managed with bypass surgery.
- Advances in endovascular techniques are shifting treatment paradigms.
- Minimally invasive approaches are increasingly preferred for aortoiliac lesions.
Observation:
- A case of AIOD presenting with limb ischemia was treated.
- Mechanical thrombectomy was performed using the Inari ClotTriever system for aortoiliac lesions.
- Embolectomy of the superficial femoral artery was conducted using the ARTIX thrombectomy system.
Findings:
- Successful mechanical thrombectomy of aortoiliac occlusive disease.
- Effective embolectomy of the superficial femoral artery.
- Demonstration of novel endovascular therapies for AIOD.
Implications:
- These endovascular techniques provide viable alternatives to traditional bypass surgery for AIOD.
- Minimally invasive thrombectomy offers new therapeutic options for limb ischemia.
- Highlights the potential of advanced thrombectomy systems in managing complex vascular occlusive disease.
Abstract:
Aortoiliac occlusive disease (AIOD) can occur from either chronic, progressive atherosclerotic disease, acute on chronic thrombosis or acute arterial embolism, and can all result in limb ischemia. Bypass surgery had long been the gold standard for treatment for AIOD, however, with advances in endovascular techniques, minimally invasive treatment of aortoiliac lesions has become the first line choice of management in many cases. Herein, we describe a case of utilizing the Inari ClotTriever to perform aortoiliac mechanical thrombectomy and the ARTIX thrombectomy system to perform an embolectomy the superficial femoral artery, highlighting new therapies to treat AIOD.
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