title: The use of the Trellis-6 thrombectomy device in the management of acute limb ischemia due to native vessel occlusion: challenges, tips, and limitations.
abstract: The role of endovascular therapy is expanding in the treatment of acute limb ischemia (ALI). In addition to catheter-based thrombolysis, there are multiple devices which allow for clot disruption and aspiration. The Trellis catheter system provides mechanical agitation of thrombus coupled with chemical thrombolysis. We present two cases of native arterial occlusions in which the Trellis catheter was used for thrombolysis. Procedural tips and challenges associated with the use of this device in native vessels are discussed.
authors.affiliation: The University of California San Diego Department of Medicine, Division of Cardiology, San Diego, California, USA.
authors.forename: Brendan
authors.initials: B
authors.lastname: Daly
authors.forename: Mitul
authors.initials: M
authors.lastname: Patel
authors.forename: Anand
authors.initials: A
authors.lastname: Prasad
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology; D007383:Intermittent Claudication; D007511:Ischemia / Q000628:therapy; D007866:Leg / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D018570:Risk Assessment; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology