If the embolic fragment is small enough to be retrieved through a sheath, this may be achieved with the use of a loop snare, thromboembolectomy
balloons, or the Solitaire stent retriever device.
The patient was emergently transferred to the operation theatre where thromboembolectomy
with Fogarty catheter was performed under local anesthesia.
A 61-year-old Vietnamese male with a past medical history of coronary artery disease, peripheral vascular disease, and abdominal aortic aneurysm underwent an axillary-bifemoral bypass and bilateral lower extremity thromboembolectomy
. He was referred to our tertiary care center when his preoperative course was complicated by malaise, productive cough, and weight loss of 5 pounds over 5 weeks.
There is no diagnostic or prognostic test currently available for detecting and tracking PTE except for imaging.[sup], Furthermore, current therapeutic options are limited to anticoagulant therapy, thrombolysis,[sup], catheter-directed reperfusion,[sup], and surgical thromboembolectomy
. In our previous report of seven cases of strongly suspected PTE for which thrombolytic therapies were performed during CPR, five patients achieved a return of spontaneous circulation (ROSC), and three were survival to hospital discharge.[sup]
Fluoroscopy-assisted dual catheter thromboembolectomy
: A new technique useful in patients with embolization to arteries of disproportionate diameters.
In addition, results of two clinical trials featuring Penumbra technology will be presented: the Aneurysm Coiling Efficiency study analyzing the benefit of high packing density on the long-term outcome of peripheral embolization with the Ruby Coil, and multicenter results of the acute limb ischemia revascularization study (PRISM) utilizing the Indigo Thromboembolectomy
Balloon catheter thromboembolectomy
is necessary to restore patency to recently occluded distal arteries crucial to limb viability.
This was followed by a sternotomy and pulmonary artery thromboembolectomy
with cardio-pulmonary bypass.
Five (9%) patients underwent thromboembolectomy
. LTT was performed in 5 (9%) patients.