title: Acute thrombotic subclavian artery occlusion treated with a new rotational thrombectomy device.
abstract: OBJECTIVE
  To report the use of a new rotational thrombectomy device for percutaneous thrombectomy of an acutely occluded subclavian artery.
  
  
  METHODS
  A 71-year-old woman with a history of multivessel coronary disease complained of sudden onset of pain at rest and paleness of the left arm. Duplex ultrasound showed a localized thrombotic occlusion of the postvertebral subclavian artery and another at the bifurcation of the brachial artery. After angiographic confirmation, the subclavian artery was recanalized with an 8-F Rotarex device via a percutaneous transfemoral access; the bifurcation of the brachial artery was recanalized by local thrombolysis (50 mg rtPA) because the thrombectomy device was too short to reach the occlusion. Follow-up examinations up to 1 year have shown normalized perfusion of the left arm.
  
  
  CONCLUSIONS
  This new thrombectomy device is a useful tool for the percutaneous treatment of acute occlusion in the brachiocephalic arteries.
authors.affiliation: Department of Angiology, Herz-Zentrum Bad Krozingen, Germany. thomas.zeller@herzzentrum.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Zeller
authors.forename: Ulrich
authors.initials: U
authors.lastname: Frank
authors.forename: Karlheinz
authors.initials: K
authors.lastname: Bürgelin
authors.forename: Lutz
authors.initials: L
authors.lastname: Sinn
authors.forename: Barbara
authors.initials: B
authors.lastname: Horn
authors.forename: Helmut
authors.initials: H
authors.lastname: Roskamm
mesh_terms: D000208:Acute Disease; D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex