[Technical modification of the rheolytic thrombectomy]

A 48-year-old male patient with acute occlusion (5 cm) of a leg artery was treated with the rheolytic thrombectomy (RT). As recommended the catheter is applied via a single coaxial running guide wire, which is removed later. If an additional wire has been placed in the occluded vessel segment, the occlusion can be passed repeatedly. A 30 degrees bent catheter tip improves the removal of wall-adherent thrombotic material. The occluded segment was successfully recanalized with the RTC, 270 ml of heparinised saline had been injected. The blood examinations showed mild haemolysis.