Image-guided Embolectomy and Thrombectomy
نویسنده
چکیده
T he Fogarty Arterial Embolectomy Catheter (Edwards Lifesciences LLC, Irvine, CA) introduced to vascular surgery the concept and capability of remote treatment of arterial pathology. It has become the standard for removal of peripheral emboli and thrombi since its introduction in 1963, and it has generated a variety of imitations. The parallel development of the Seldinger technique and a host of other over-the-wire-based catheter technologies led to the latest guidewire-compatible iteration of the Fogarty balloon catheter—the Fogarty Thru-Lumen Embolectomy Catheter. The Thru-Lumen Embolectomy Catheter incorporates the same compliant, concentric balloon technology and catheter as the standard Fogarty Catheter, but adds an additional lumen that can be used to guide the catheter over a wire, or for fluid delivery. The Fogarty Thru-Lumen Embolectomy Catheter is manufactured in sizes of 3 F to 7 F, which allows the device to accommodate a variety of standard guidewire diameters (.018-, .025-, .035-, and .038-inch). The catheter is available in two lengths—40 cm and 80 cm. Stainless steel bushings located at the proximal and distal ends of the balloon enable accurate visualization under fluoroscopy. This article discusses the expanded capabilities of the Fogarty Thru-Lumen Embolectomy Catheter for its traditional techniques, as well as other methods not traditionally used with this type of catheter.
منابع مشابه
Paradoxical embolism.
Paradoxical embolization of venous thrombus into the abdominal aortic bifurcation has been diagnosed by means of aortography. Lower limb phlebothrombosis accounting for the embolus formation has been demonstrated by phlebography. Arterial embolectomy and venous thrombectomy were successfully performed. Recovery was complete without sequelae.
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