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Chapter-17 Thromboaspiration and Thrombectomy in Peripheral Vessels

BOOK TITLE: Handbook of Interventions for Structural Heart and Peripheral Vascular Disease

Author
1. Khanna Narendra Nath
2. Henry Michel
ISBN
9789351529903
DOI
10.5005/jp/books/12983_18
Edition
1/e
Publishing Year
2017
Pages
10
Author Affiliations
1. Apollo Group of Hospitals; Indraprastha Apollo Hospitals, New Delhi, India, Apollo Group of Hospitals, New Delhi, Asia Pacific Vascular Society; Apollo Group of Hospitals; Indraprastha Apollo Hospitals, New Delhi, India, Asia Pacific, Vascular Society; Apollo Group of Hospitals; Indraprastha Apollo Hospitals New Delhi, India, Indraprastha Apollo Hospital, New Delhi, India
2. Asian Pacific Vascular Society, Patron Apollo Vascular Institute; Luxembourg, Luxembourg; Asia Pacific Vascular Society; Global Vascular Institute for Carotid and Peripheral Vascular Diseases Apollo Hospital Complex, Jubilee Hills, Hyderabad, Telangana, India
Chapter keywords
Thromboaspiration, thrombectomy, catheter-directed thrombolytic therapy, CDTT, Straub-rotarex, hydrolyzer, oasis, amplatz clot buster, trerotola device

Abstract

This chapter discusses thromboaspiration and thrombectomy in peripheral vessels. Acute and subacute thromboembolic and local thrombotic lesions of the limbs are the most common cause of amputation. The standard surgical treatment of thrombotic occlusion below the inguinal ligament is Fogarty embolectomy. Catheter-directed thrombolytic therapy (CDTT) is time consuming and expensive and is associated with a high risk of embolism and hemorrhage. This chapter covers the Straub-rotarex (straub medical), Straub-rotarex thrombectomy system, hydrolyzer, oasis, amplatz clot buster, trerotola device, and thromboaspiration. Thromboaspiration is a safe, cost-effective, simple, and quick method of aspirating thrombi from native arteries/bypass grafts. It is particularly useful in cases of arterial embolism and residual clots after thrombolysis.

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