title: Retrograde rotational thrombectomy with the Rotarex catheter system: treatment option for an acute thrombotic occlusion of a subclavian artery.
abstract: OBJECTIVE
  The Rotarex catheter system is an effective tool for endovascular therapy of acute occluded arteries of the lower extremities, especially for the femoral artery. The authors report the use of the Rotarex catheter system for retrograde percutaneous thrombectomy of an occluded subclavian artery.
  
  
  METHODS
  A 79-year-old male patient was referred because of acute pain and paleness of his left arm. Ultrasound examination and computed tomography angiography proved an occlusion of the left subclavian artery from the origin of the vessel. A retrograde recanalization was attempted using the 6F Rotarex catheter and combined with initiation of a local low-dose lytic therapy. A normal blood flow to the left arm was restored. Follow-up examination 3 months later showed a normal perfusion situation of the left upper extremity.
  
  
  CONCLUSIONS
  The Rotarex catheter system is an effective tool for endovascular therapy of acute occluded arteries and efficacy is not restricted to the lower extremities.
authors.affiliation: Cardiovascular Clinic, Philippusstift Essen, Katholische Kliniken Essen-Nord-West gGmbH, Essen, Germany. m.lichtenberg@kkenw.de
authors.forename: Michael
authors.initials: M
authors.lastname: Lichtenberg
authors.forename: Matthias
authors.initials: M
authors.lastname: Kaeunicke
authors.forename: Michael
authors.initials: M
authors.lastname: Lukat
authors.forename: Birgit
authors.initials: B
authors.lastname: Hailer
mesh_terms: D000208:Acute Disease; D000368:Aged; D057785:Catheters; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000295:instrumentation; D004867:Equipment Design; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D008297:Male; D012039:Regional Blood Flow; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D017131:Thrombectomy / Q000295:instrumentation*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex
chemical_list: D005343:Fibrinolytic Agents
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