Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multicenter AngioJet® registry†
Jose A. Silva MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorCorresponding Author
Stephen R. Ramee MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
1514 Jefferson Highway, New Orleans, LA 70121Search for more papers by this authorTyrone J. Collins MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorJ. Stephen Jenkins MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorAlexandra J. Lansky MD
Washington Cardiology Center, Washington Hospital Center, Washington, D.C.
Search for more papers by this authorGary M. Ansel MD
Mid-Ohio Cardiology Consultants, Columbus, Ohio
Search for more papers by this authorBart L. Dolmatch MD
Section of Vascular and Interventional Radiology, Cleveland Clinic, Cleveland, Ohio
Search for more papers by this authorMark H. Glickman MD
Virginia Vascular Associates, Norfolk, Virginia
Search for more papers by this authorBrian Stainken MD
Department of Vascular Radiology, Albany Medical Center, Albany, New York
Search for more papers by this authorEmily Ramee MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorChristopher J. White MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorJose A. Silva MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorCorresponding Author
Stephen R. Ramee MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
1514 Jefferson Highway, New Orleans, LA 70121Search for more papers by this authorTyrone J. Collins MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorJ. Stephen Jenkins MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorAlexandra J. Lansky MD
Washington Cardiology Center, Washington Hospital Center, Washington, D.C.
Search for more papers by this authorGary M. Ansel MD
Mid-Ohio Cardiology Consultants, Columbus, Ohio
Search for more papers by this authorBart L. Dolmatch MD
Section of Vascular and Interventional Radiology, Cleveland Clinic, Cleveland, Ohio
Search for more papers by this authorMark H. Glickman MD
Virginia Vascular Associates, Norfolk, Virginia
Search for more papers by this authorBrian Stainken MD
Department of Vascular Radiology, Albany Medical Center, Albany, New York
Search for more papers by this authorEmily Ramee MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorChristopher J. White MD
Department of Cardiology, Ochsner Clinic, New Orleans, Louisiana
Search for more papers by this authorFor the Possis Peripheral AngioJet Study AngioJet® Investigators
Abstract
We tested the efficacy of rheolytic thrombectomy in treating 21 patients (mean age 68 ± 12 years; 66% male) and 22 vessels (limbs) who presented to the hospital within 2 weeks of the development of limb-threatening ischemia. Fifty-two percent had contraindications to use thrombolytics, and 57% had severe comorbidities. All of the vessels were occluded with thrombus on the initial angiogram. Procedural success was achieved in 20 limbs (91%). Three patients expired in the hospital, and one expired at follow-up due to nonvascular causes. Acute limb salvage was achieved in 18 of 19 limbs (95%) in the 18 survivors, and 6-month limb salvage was achieved in 16 of 18 limbs (89%) in the 17 survivors. Rheolytic thrombectomy is effective in restoring immediate blood flow in acute limb-threatening ischemia, especially in high-risk surgical patients or patients with contraindications to thrombolytic therapy. Cathet. Cardiovasc. Diagn. 45:386–393, 1998. © 1998 Wiley-Liss, Inc.
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