Utility of Neurointerventional Devices in Peripheral Vascular Thrombosis

This report presents the successful application of neurointerventional devices, specifically the Solumbra technique, in the treatment of acute peripheral arterial thromboses. We describe two clinical cases: one involving renal artery dethrombosis in a patient with vasculitis, and another concerning acute radial artery thrombosis in a hemodialysis patient after a failed conventional Fogarty attempt. In both cases, the Solumbra technique, combining high-power aspiration using Penumbra aspiration catheters with mechanical thrombectomy using a stent retriever, was successfully employed for endovascular thrombectomy. Rapid and complete revascularization of the affected vessels was achieved, resulting in excellent clinical outcomes without complications. Traditionally a cornerstone of neurovascular interventions, the Solumbra technique thus demonstrates clear novelty and promising efficacy as a powerful rescue tool for managing selected cases of acute peripheral vascular thrombosis, particularly when precision and rapid action are required following the failure of established methods. Further investigation through larger studies is warranted.