[Percutaneous transluminal hydrodynamic thrombectomy--the initial results].
OBJECTIVE
First clinical applications in the femoro-popliteal vessels of a new system for percutaneous, transluminal hydrodynamic thrombectomy are presented.


METHODS
Three patients suffering from femoro-popliteal thromboembolic obstruction were treated. A new hydrodynamic 8-F catheter with two lumina was used. The jet leaving at the tip of the catheter shredded the thrombotic material. Using the Venturi effect the thrombus was collected. The shredded material was transported outside through the second channel of the catheter.


RESULTS
All obstructions could be removed. Underlying degenerative vessel disease and older thromboemboli needed additional therapy like PTA or aspiration thrombectomy (PAT).


CONCLUSIONS
The new catheter is helpful in removing arterial femoro-popliteal thromboembolic obstructions. Additional interventions may be necessary. More clinical experience is needed.
Höpfner
W
W
Klinik für Diagnostische Radiologie und Neuroradiologie, Zentralklinikums Augsburg.
Vicol
C
C
Bohndorf
K
K
Loeprecht
H
H
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods; D003131:Combined Modality Therapy; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000601:surgery; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography
Perkutane, transluminale hydrodynamische Thrombektomie--erste Ergebnisse.