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Thromboembolectomy with the Transluminal Extraction Catheter (TEC) as an Adjunct to Thrombolysis

1992; Elsevier BV; Volume: 3; Issue: 3 Linguagem: Inglês

10.1016/s1051-0443(92)71998-8

1535-7732

Alan H. Matsumoto, Michael G. Sarosi, J. Bayne Selby, Charles J. Tegtmeyer,

Peripheral Artery Disease Management

Multiple surgical and percutaneous interventional radiologic techniques have been used to restore blood flow in an acutely ischemic extremity. The transluminal extraction catheter (TEC) system was used as a mechanical thromboembolectomy device to supplement pharmacologic thrombolysis in one patient. In this case, 40 hours of direct intra-arterial infusion of urokinase into the occluded vascular segments of a threatened lower extremity resulted in incomplete thrombolysis. Therefore, a 7-F TEC system was advanced percutaneously through the occluded vessels with restoration of luminal patency in all vessels treated. No distal embolization occurred. The TEC system facilitated prompt re-canalization of vessels occluded by acute thrombus superimposed on atherosclerotic disease. Multiple surgical and percutaneous interventional radiologic techniques have been used to restore blood flow in an acutely ischemic extremity. The transluminal extraction catheter (TEC) system was used as a mechanical thromboembolectomy device to supplement pharmacologic thrombolysis in one patient. In this case, 40 hours of direct intra-arterial infusion of urokinase into the occluded vascular segments of a threatened lower extremity resulted in incomplete thrombolysis. Therefore, a 7-F TEC system was advanced percutaneously through the occluded vessels with restoration of luminal patency in all vessels treated. No distal embolization occurred. The TEC system facilitated prompt re-canalization of vessels occluded by acute thrombus superimposed on atherosclerotic disease.