Short-term results with use of the Amplatz thrombectomy device in the treatment of acute lower limb occlusions.
OBJECTIVE
To evaluate the clinical efficacy of the Amplatz device for the treatment of acute occlusions of the lower limb arteries.


METHODS
Forty patients with acute occlusion of the lower limb arteries (3 hours to 8 days; mean, 2 days) were treated using the Amplatz clot macerator. Acute thrombotic lower limb occlusion was due to an embolic event in 32 patients and to atherosclerotic disease in eight patients.


RESULTS
Complete success, with complete clearing of thrombotic material without an adjunctive procedure, was achieved in 75% (30 of 40) of the patients. Mean thrombectomy time in these patients was 75 seconds. Partial success, with incomplete clearing of the thrombus, requiring additional procedures such as local thrombolysis, angioplasty, or atherectomy, was achieved in 20% (eight of 40) of the patients. The Doppler index increased significantly (P < .001) from .45 before intervention to .96 after intervention. There were two failures (5%). No major complications occurred.


CONCLUSIONS
Mechanical thrombectomy with use of the Amplatz device is a promising approach for quick recanalization of acute peripheral thromboembolic occlusions. Further studies are needed to prove the long-term patency after mechanical thrombectomy with use of this device.
Rilinger
N
N
Department of Radiology, University of Ulm, Germany.
Görich
J
J
Scharrer-Pamler
R
R
Vogel
J
J
Tomczak
R
R
Krämer
S
S
Merkle
E
E
Brambs
H J
HJ
Sokiranski
R
R
D000208:Acute Disease; D000368:Aged; D015901:Angiography, Digital Subtraction; D017128:Embolectomy / Q000295:instrumentation; D004617:Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery; D017131:Thrombectomy / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014654:Vascular Patency