Abstract
Purpose
The suitability of a rheolytic system for recanalization of aged venous thrombotic occlusions was tested in an animal experiment.
Methods
The system consists of a flush-suction catheter and a high-pressure liquid pump. Thrombosis was experimentally induced in 13 venous segments of 10 adult goats.
Results
After a mean period of 12 days, a complete thrombectomy using the flush-suction system was achieved in 12 cases. No complications such as perforation or dissection were observed.
Conclusion
This system seems to be an appropriate device for percutaneous transluminal venous thrombectomy, even in older occlusions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Greenfield LJ, Bruce TA, Nichols NB (1971) Transvenous pulmonary embolectomy by catheter device. Ann Surg 174:881–886
Greenfield LJ, Zocco JJ (1979) Intraluminal management of acute massive pulmonary thromboembolism. J Thorac Cardiovasc Surg 77:402–410
Maynar-Moliner M, Castañeda-Zúñiga WR, Joffre F, Zollikofer CL (1993) Percutaneous revascularization techniques. Thieme Medical Publishers, New York, pp 106–117
Bildsoe MC, Moradian GP, Hunter DW, Castañeda-Zúñiga WR, Amplatz K (1989) Mechanical clot dissolution: New concept. Radiology 171:231–233
Günther RW, Vorwerk D (1990) Aspiration catheter for percutaneous thrombectomy: Clinical results. Radiology 175:271–273
Schmitz-Rode T, Günther RW (1991) New device for percutaneous fragmentation of pulmonary emboli. Radiology 180:135–137
Schmitz-Rode T, Vorwerk D, Marschall H-U, Günther RW (1994) Portal vein thrombosis after occlusion of a transjugular intrahepatic portosystemic shunt: Recanalization with the impeller catheter. J Vasc Intervent Radiol 5:467–471
Drasler WJ, Jenson ML, Wilson GJ, Thielen JM, Protonotarios EI, Dutcher RG, Possis ZC (1992) Rheolytic catheter for percutaneous removal of thrombus. Radiology 182:263–267
Reekers JA, Kromhont JG, van der Waal K (1993) Catheter for percutaneous thrombectomy: First clinical experience. Radiology 188:871–874
Vicol C, Dalichau H, Köhler J, Schunk O, Fischer G, Friedel M, Berne M, Stevens K, Leyen S (1992) Performance of indirect embolectomy aided by the recently developed new flush-suction catheter system: Thirty-nine experimental embolectomy procedures in test animals. J Cardiovasc Surg 33:56
Vicol C, Dalichau H, Köhler J, Schunk O, Fischer G, Friedel M, Stevens K, Leyen S (1994) Performance of indirect embolectomy aided by a new developed flush-suction system: Forty-seven experimental embolectomy procedures in test animals. J Cardiovasc Surg 35:193–200
Yamauchi T, Furui S, Irie T, Makita K, Takesita K, Katoh R, Kusano S (1993) Saline-jet aspiration thrombectomy catheter. AJR 161:401–404
Yamauchi T, Furui S, Katoh R, Irie T, Makita K, Takesita K, Kusano S, Katayama M, Koyama A, Saiga T (1993) Acute thrombosis of the inferior vena cava: Treatment with saline-jet aspiration thrombectomy catheter. AJR 161:405–407
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Vicol, C., Dalichau, H. Recanalization of aged venous thrombotic occlusions with the aid of a rheolytic system: An experimental study. Cardiovasc Intervent Radiol 19, 255–259 (1996). https://doi.org/10.1007/BF02577645
Issue Date:
DOI: https://doi.org/10.1007/BF02577645