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Arterial thrombosis below the inguinal ligament: percutaneous treatment with a thrombosuction catheter
J A Reekers1, J G Kromhout, H G Spithoven
1Department of Radiology, University of Amsterdam, The Netherlands.
Insights
A thrombosuction catheter offers a safe and effective treatment for infrainguinal arterial thrombosis, often reducing the need for lytic drugs. This method provides a fast-acting solution for arterial blockages below the inguinal ligament.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Acute infrainguinal arterial thrombosis poses a significant clinical challenge.
- Treatment options traditionally include surgical intervention or thrombolysis, each with associated risks and limitations.
Purpose of the Study:
- To evaluate the safety and clinical effectiveness of a thrombosuction catheter.
- To assess its utility in treating arterial thrombosis located below the inguinal ligament.
Main Methods:
- A consecutive series of 28 patients with acute infrainguinal thrombosis were treated with a thrombosuction catheter.
- Outcomes assessed included initial local success, clinical success, and 30-day outcomes.
- The study included patients with both native vessels and arterial grafts.
Main Results:
- The initial local success rate was 82%.
- Clinical success rates at 30 days were 73% for native vessels and 35% for grafts.
- A single complication occurred due to thrombotic material displacement; no bleeding complications were reported.
- Thrombolytic drugs were not required in 58% of patients.
Conclusions:
- The thrombosuction catheter demonstrates significant safety and efficacy.
- It serves as a rapid and effective alternative or adjunct to local lysis therapy.
- This approach is particularly relevant for infrainguinal arterial thrombosis management.
Purpose:
To assess the safety and clinical efficacy of using a thrombosuction catheter for treatment of arterial thrombosis below the inguinal ligament.
Materials And Methods:
The catheter was used in a consecutive group of 28 patients (10 women, 18 men; age range, 38-87 years; mean age, 66.7 years; with 11 native vessels and 17 grafts) with acute infrainguinal thrombosis. Initial local success, clinical success, and 30-day outcome were studied.
Results:
The initial local success rate was 82%. The clinical success rate was 73% for native vessels and 53% for grafts. The 30-day success rate was 73% for native vessels and 35% for grafts. Displacement of thrombotic material during the procedure resulted in a clinical complication in one patient. There were no bleeding complications. In 58% of all patients (n = 26), no lytic drug was used.
Conclusion:
The thrombosuction catheter seems to be a safe, fast-acting alternative or supplement to local lysis therapy for infrainguinal arterial thrombosis.