A Novel Percutaneous Technique for Aorto-Iliac Thrombectomy without the Risk of Embolization
نویسندگان
چکیده
Classic surgical thrombectomy of the aorta and iliac arteries through an incision in groin vessels harbors risk embolization to viscero-renal as well hypogastric arteries, while percutaneous endovascular techniques can lead peripheral lower limbs. Therefore, we describe a novel, technique that tackles above issues. Furthermore, also present our initial experience using technique. The principle is percutaneously place large-bore sheaths deliberately occlude latter protect limbs from embolization. Through one these sheaths, over wire Fogarty® catheters be placed inflated ostia coeliac trunk, superior mesenteric artery, renal needed. A large balloon catheter then used bring any aorto-iliac thrombus into whereafter removed by simply deflating their valves. Additional procedures branches performed We report nine 8 patients (4 males 4 females) with median age 63 (53–68.5). were 6 (66.7%) procedures. All but procedure technically successful, all had palpable foot pulses on completion procedures, no patient clinical signs This very valid addition vascular surgeon’s armamentarium when treating thrombotic events because it minimally invasive still protecting against offering flexibility perform wide range additional where
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ژورنال
عنوان ژورنال: Bioengineering
سال: 2023
ISSN: ['2306-5354']
DOI: https://doi.org/10.3390/bioengineering10070778