[Percutaneous therapy of occlusions of calf arteries with newly developed hydrodynamic thrombectomy catheter, Angiojet LF140].
OBJECTIVE
To evaluate the rheolytic thrombectomy catheter Angiojet LF140 (RTC) for treatment of calf artery occlusions.


METHODS
A 47-year-old male patient with an 8 cm measuring occlusion of the femoropopliteal and all calf vessels, suffering from limb threatening ischemia for 21 days, was treated with hydrodynamic thrombectomy (RT) using the modified RTC LF140.


RESULTS
Most of the occluded segments could be successfully recanalized with the RTC. 450 ml of heparinized saline were injected. Parts of the tibial posterior artery and the fibular artery remained occluded. Additional long-term fibrinolysis therapy was administered (24 h), until all lower limb arteries were completely recanalized (+3 according to Rutherford).


CONCLUSIONS
The modified RTK LF140 allows the treatment of acute thrombotic occlusions, even small caliber vessels. The device fails to remove organized and walladherent thrombus.
Müller-Hülsbeck
S
S
Klinik für Radiologische Diagnostik, der Christian-Albrechts-Universität zu kiel.
Brossmann
J
J
Heller
M
M
D002404:Catheterization; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods; D013927:Thrombosis / Q000188:drug therapy / Q000601:surgery*; D013997:Time Factors
D005343:Fibrinolytic Agents; D006493:Heparin
Perkutane Therapie von Unterschenkelarterienverschlüssen mit dem weiterentwickelten hydrodynamischen Thrombektomiekatheter Angiojet LF140.