Top

CardioVascular and Interventional Radiology

Published in:

01-12-2011 | CIRSE Standards of Practice Guidelines

Quality Improvement Guidelines for Percutaneous Catheter-Directed Intra-Arterial Thrombolysis and Mechanical Thrombectomy for Acute Lower-Limb Ischemia

Authors: Dimitris Karnabatidis, Stavros Spiliopoulos, Dimitrios Tsetis, Dimitris Siablis

Published in: CardioVascular and Interventional Radiology | Issue 6/2011

Excerpt

Thrombolytic therapy has been an established and effective treatment for acute limb ischemia for years [1‐3]. The treatment options for this life-threatening condition are “open” surgery, percutaneous endovascular treatment, and intravenous (i.v.) systemic thrombolysis. Current percutaneous treatment includes catheter-mediated infusion of fibrinolytic agents (pharmacological thrombolysis), pharmacomechanical thrombolysis, catheter-mediated thrombus aspiration, mechanical thrombectomy, and a combination of the above [4‐10]. This study was designed to quality assurance guidelines concerning the treatment of acute and subacute arterial limb ischemia, with the use of percutaneous catheter-directed pharmacological thrombolysis and mechanical thrombectomy or a combination of both. …

Bertelsen S, Egeblad K (1969) Experimental thrombolysis by perfusion. I. Reaction of the intestinal wall to plasmin infused intra-arterially. Acta Chir Scand 135(6):482–485PubMed

Dotter CT, Rosch J, Seaman AJ et al (1974) Selective clot lysis with low-dose streptokinase. Radiology 111:31–37PubMed

Timmis GC, Gangadharan V, Hauser AM, Ramos RG, Westveer DC, Gordon S (1982) Intracoronary streptokinase in clinical practice. Am Heart J 104(4 Pt 2):925–938PubMedCrossRef

Blaisdell FW, Steele M, Alen RE (1978) Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery 84:822–834PubMed

Park WM, Gloviczki P, Cherry KJ et al (2002) Contemporary management of acute mesenteric ischemia. Factors associated with survival. J Vasc Surg 35:445–452PubMedCrossRef

Berridge DC, Gregson RHS, Hopkinson BR et al (1991) Randomized trial of intra-arterial recombinant tissue plasminogen activator, intravenous plasminogen activator and intra-arterial streptokinase in peripheral arterial thrombolysis. Br J Surg 78:988–995PubMedCrossRef

Dormandy JA, Rutherford RB (2000) Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 31:S1–S296PubMedCrossRef

Kessel DO, Berridge DC, Robertson I (2004) Infusion techniques for peripheral arterial thrombolysis. Cochrane Database Syst Rev 1:CD000985PubMed

Working Party on Thrombolysis in the Management of Limb Ischemia (1998) Thrombolysis in the management of lower limb peripheral arterial occlusion—a consensus document. Am J Cardiol 81:207–218CrossRef

10.

Ouriel K (2003) Endovascular techniques in the treatment of acute limb ischemia: thrombolytic agents, trials and percutaneous mechanical thrombectomy techniques. Sem Vasc Surg 16(4):220–279CrossRef

11.

Bell WR (2002) Present-day thrombolytic therapy: therapeutic agents–pharmacokinetics and pharmacodynamics. Rev Cardiovasc Med 3(Suppl 2):S34–S44PubMed

12.

Van Breda, Katsen BT, Deuttsch As (1987) Urokinase versus streptokinase in local thrombolysis. Radiology 165:109–111PubMed

13.

Marder VJ (2009) Thrombolytic therapy for deep vein thrombosis: potential application of plasmin. Thromb Res 123(Suppl 4):S56–S61PubMedCrossRef

14.

Ouriel K, Veith FJ, Sasahara AA et al (1998) A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators. N Engl J Med 338(16):1105–1111PubMedCrossRef

15.

Smalling RW (1997) Pharmacological and clinical impact of the unique molecular structure of a new plasminogen activator. Eur Heart J 18(Suppl F):F11–F16PubMed

16.

Semba CP, Bakal CW, Calis CA et al (2000) Alteplase as an alternative to urokinase. Advisory Panel on Catheter-Directed Thrombolytic Therapy. J Vasc Intervent Radiol 11:279–287CrossRef

17.

Semba CP, Sugimoto K, Razavi MK (2001) Alteplace and Tenecteplace: applications in the peripheral circulation. Tech Vasv Intervent Radiol 4:99–106CrossRef

18.

Hull JE, Hull MK, Urso JA (2004) Reteplase with or without abciximab for peripheral arterial occlusions: efficacy and adverse events. J Vasc Interv Radiol 15:557–564PubMed

19.

Benenati JF, Shlansky-Goldberg R, Meglin A et al (2001) Thrombolytic and antiplatelet therapy in peripheral vascular disease with the use of reteplase and/or abciximab. The SCVIR Consultant’s Conference; May 22, 2000; Orlando, Fl. Society for Cardiovascular and. J Vasc Interv Radiol 12:795–805PubMedCrossRef

20.

Burkart DJ, Borsa JJ, Anthony JP, Thurlo SR (2003) Thrombolysis of acute peripheral arterial and venous occlusions with tenecteplase and eptifibatide: a pilot study. J Vasc Interv Radiol 14:729–733PubMed

21.

Duda SH, Tepe G, Luz O et al (2001) Peripheral artery occlusion: treatment with abciximab plus urokinase versus with urokinase alone—a randomized pilot trial (the PROMPT Study). Platelet Receptor Antibodies in Order to Manage Peripheral Artery Thrombosis. Radiology 221:689–696PubMedCrossRef

22.

Ouriel K, Castaneda F, McNamara T et al (2004) Reteplase monotherapy and reteplase/ abciximab combination therapy in peripheral arterial occlusive disease: results from the RELAX trial. J Vasc Interv Radiol 15:229–238PubMedCrossRef

23.

Schweizer J, Kirch W, Koch R et al (2003) Use of abciximab and tirofiban in patients with peripheral arterial occlusive disease and arterial thrombosis. Angiology 54:155–161PubMedCrossRef

24.

Drescher P, Crain MR, Rilling WS (2002) Initial experience with the combination of reteplase and abciximab for thrombolytic therapy in peripheral arterial occlusive disease: a pilot study. J Vasc Interv Radiol 13:37–43PubMedCrossRef

25.

Patel N, Sacks D, Patelet RI et al (2003) SIR reporting standards for the treatment of acute limb ischemia with use of transluminal removal of arterial thrombus. J Vasc Interv Radiol 14:S453–S465PubMedCrossRef

26.

Norgren L, Hiatt WR, Dormandy JA et al (2007) Inter-Society Consensus for the Management of Peripheral arterial Disease (TASC II). Eur J Vasc Endovasc Surg 33(Suppl 1):S1–S75PubMedCrossRef

27.

Berridge D, Kesel D, Robertson I (2002) Surgery versus thrombolysis for initial management of acute limb ischemia. Cochrane Database Syst Rev CD002784 (1)

28.

Walker TG (2009) Acute limb ischemia. Tech Vasc Intervent Radiol 12:117–129CrossRef

29.

Vermilion BD, Kimmins SA, Pace WG et al (1983) A review of one hundred forty-seven popliteal artery aneurysms with long-term follow-up. Surgery 90:1009–1014

30.

Carpenter JP, Barker CF, Roberts B et al (1994) Popliteal artery aneurysms: current management and outcome. J Vasc Surg 19:65–72PubMed

31.

Dawson I, van Bockel JH, Brand R et al (1991) Popliteal artery aneurysms. Long-term follow-up of aneurysmal disease and results of surgical treatment. J Vasc Surg 13:398–407PubMedCrossRef

32.

Gardiner GA, Harrington DP, Koltun W, Whittemore A, Mannick JA, Levin DC (1989) Salvage of occluded bypass grafts by means of thrombolysis. J Vasc Surg 9:426–431PubMedCrossRef

33.

Chester JF, Buckenham TM, Dormandy JA, Taylor RS (1991) Perioperative t-PA thrombolysis. Lancet 337:861–862PubMedCrossRef

34.

Bosma HW, Jˆrning PJG (1990) Intra-operative arteriography in arterial embolectomy. Eur J Vasc Surg 4:469–472PubMedCrossRef

35.

Goodman GR, Tersigni S, Li K, Lawrence PF (1993) Thrombolytic therapy in an isolated limb. Ann Vasc Surg 7(6):512–520PubMedCrossRef

36.

Rajan DK, Patel NH, Valji K et al (2009) Quality improvement guidelines for percutaneous management of acute limb ischemia. J Vasc Interv Radiol 20:S208–S218PubMedCrossRef

37.

Rutherford RB, Baker JD, Ernst C et al (1997) Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg 26:517–538PubMedCrossRef

38.

Graor RA, Comerota A, Douville Y et al (1994) Results of a prospective randomized trial evaluating surgery versus thrombolysis for ischemia of the lower extremity. The STILE trial. Ann Surg 220:251–266CrossRef

39.

Comerota AJ, Weaver FA, Hosking JD et al (1996) Results from a prospective randomized trial of surgery versus thrombolysis for occluded lower extremity bypass grafts. Am J Surg 172:105–112PubMedCrossRef

40.

Camerta A, White JV (1995) Overview of catheter-directed thrombolytic therapy for arterial and graft occlusion. In: Camerta A (ed) Thrombolytic therapy for peripheral vascular disease. Lippincott-Raven, Philadelphia, pp 249–252

41.

Thomsen HS (2006) European Society of Urogenital Radiology (ESUR) guidelines on the safe use of iodinated contrast media. Eur J Radiol 60(3):307–313PubMedCrossRef

42.

Ouriel K, Veith FJ (1998) Acute lower limb ischemia: determinants of outcome. Surgery 124:336–341PubMedCrossRef

43.

McNamara TO, Gardner KR, Bomberger RA, Greaser LE (1995) Clinical and angiographic selection factors for thrombolysis as initial therapy for acute lower limb ischemia. J Vasc Interv Radiol 6(Suppl):36S–47SPubMedCrossRef

44.

Shortell CK, Ouriel K (1994) Thrombolysis in acute peripheral arterial occlusion: predictors of immediate success. Ann Vasc Surg 8:59–65PubMedCrossRef

45.

Sharafudin MJ, Stolpen AH, Dixon BS et al (2000) Percutaneous vascular intervention based on gadolinium-enhanced MR angiography. J Vasc Interv Radiol 11:739–746CrossRef

46.

Roh BS, Park KH, Kim EA et al (2002) Prognostic value of CT before thrombolytic therapy in iliofemoral deep venous thrombosis. J Vasc Interv Radiol 13:71–76PubMedCrossRef

47.

Robinson WP, Belkin M (2009) Acute limb ischemia due to popliteal artery aneurysm: a continuing surgical challenge. Semin Vasc Surg 22:17–24PubMedCrossRef

48.

Ouriel K, Kandarpa K, Schuerr DM et al (1999) Prourokinase versus urokinase for recanalization of peripheral occlusions, safety and efficacy: the PURPOSE trial. J Vasc Interv Radiol 10:1083–1091PubMedCrossRef

49.

Jivegard L, Holm J, Schersten T et al (1986) Arterial thromboembolectomy: should anti-coagulants be administrated? Acta Chir Scand 152:493–497PubMed

50.

Decrinis M, Pilger E, Stark G et al (1993) A simplified procedure for intra-arterial thrombolysis with tissue-type plasminogen activator in peripheral arterial occlusive disease: primary and long-term results. Eur Heart J 4:297–305CrossRef

51.

Kandarpa K, Aruny J (2002) Handbook of interventional radiologic procedures, 3rd edn. Lippincott Williams & Wilkins, Philadelphia

52.

Berridge DC, Hopkinson BR, Makin GS (1989) Acute lower limb arterial ischemia: a role for continuous oxygen inhalation. Br J Surg 76:1021–1023PubMedCrossRef

53.

Dudeck O, Teichgraeber U, Podrabsky P et al (2004) A randomized trial assessing the value of ultrasound-guided puncture of the femoral artery for interventional investigations. Int J Cardiovasc Imag 20:363–368CrossRef

54.

McNamara TO, Fischer JR (1985) Thrombolysis of peripheral arterial and graft occlusions: improved results using high-dose urokinase. AJR Am J Roentgenol 144:769–775PubMed

55.

Ouriel K, Shortell CK, Azodo MV et al (1994) Acute peripheral arterial occlusion: predictors of success in catheter-directed thrombolytic therapy. Radiology 193:561–566PubMed

56.

Braithwaite BD, Buckenham TM, Galand RB et al (1997) A prospective randomized trial of high-dose versus low-dose tissue plasminogen activator infusion in the management of acute limb ischemia. Br J Surg 84:646–650PubMedCrossRef

57.

Sullivan KL, Gardinger GA, Shapiro MJ et al (1989) Acceleration of thrombolysis with high dose transthrombus blousing technique. Radiology 173:805–808PubMed

58.

Mewissen MW, Minor PL, Beyer GA et al (1990) Symptomatic native arterial occlusions: early experience with “over-the-wire” thrombolysis. J Vasc Interv Radiol 1:43–47PubMedCrossRef

59.

Ward AS, Andaz SK, Bygrave S (1994) Thrombolysis with tissue-plasminogen activator: results with a high-dose transthrombus technique. J Vasc Surg 19:503–508PubMed

60.

Juhan C, Haupert S, Miltgen G, Girard N et al (1991) A new intra-arterial rt-PA dosage regimen in peripheral arterial occlusion: bolus followed by continuous infusion. Thromb Haemost 65:635PubMed

61.

Hess H, Ingrisch H, Mietaschk A et al (1982) Local low-dose thrombolytic therapy of peripheral arterial occlusions. N Engl J Med 307:1627–1630PubMedCrossRef

62.

Traughber PD, Cook PS, Miclos TJ et al (1987) Intra-arterial fibrinolytic therapy for popliteal and tibial artery obstruction: comparison of streptokinase to urokinase. Am J Roentgenol 149:443–456

63.

Valji K, Bookstein JJ (1992) Pulsed spray thrombolysis accelerates clot dissolution. Diagn Imag (San Franc) 13:58–63

64.

Bookstein JJ, Valji K, Roberts AC (1994) Pulsed versus conventional thrombolytic infusion techniques. Radiology 193:318–320PubMed

65.

Bookstein JJ, Valji K (1992) Pulse spray pharmacomechanical thrombolysis: updated clinical and laboratory observations. Semin Interv Radiol 9:174–182CrossRef

66.

Kandarpa K, Chopra PS, Arung JE et al (1993) Intraarterial thrombolysis of lower extremity occlusion: prospective randomized comparison of forced periodic infusion and conventional slow continuous infusion. Radiology 188:861–867PubMed

67.

Valji K, Bookstein JJ, Roberts AC et al (1993) Occluded peripheral arteries and bypass grafts: lytic stagnation as an end point for pulse-spray pharmacomechanical thrombolysis. Radiology 188:389–394PubMed

68.

Sullivan KL, Gardiner GAJ, Kandarpa K et al (1991) Efficacy of thrombolysis in infrainguinal by-pass grafts. Circulation 83(Suppl 2):99–105

69.

Clouse ME, Stokes KR, Perry LJ et al (1994) Percutaneous intraarterial thrombolysis: analysis of factors affecting outcome. J Vasc Interv Radiol 5:93–100PubMedCrossRef

70.

Lye-Quen Hon et al (2009) Vascular closure devices: a comparative overview. Curr Probl Diagn Radiol 38(1):33–43PubMedCrossRef

71.

Ouriel K, Shortell CK, De Weese JA et al (1994) A comparison of thrombolytic therapy with operative vascularization in the initial treatment of acute peripheral arterial ischemia. J Vasc Surg 19:1021–1030PubMed

72.

DeMaioribus CA, Mills JL, Fujitani RM et al (1993) A re-evaluation of intraarterial thrombolytic therapy for acute lower extremity ischemia. J Vasc Surg 17:888–895PubMedCrossRef

73.

Ouriel K, Veith FJ, Sasahara AA et al (1996) Thrombolysis or peripheral arterial surgery: phase I results. J Vasc Surg 23:64–73PubMedCrossRef

74.

Cragg AH, Smith TP, Corson JD et al (1991) Two urokinase dose regimens in native arterial and graft occlusions: initial results of a prospective, randomized clinical trial. Radiology 178:681–686PubMed

75.

Koppensteiner R, Minar E, Ahmadi R et al (1988) Low doses of recombinant human tissue-type plasminogen activator for local thrombolysis in peripheral arteries. Radiology 168:877–878PubMed

76.

Graor RA, Risius B, Young JR et al (1988) Thrombolysis of peripheral arterial bypass grafts: surgical thrombectomy compared with thrombolysis. A preliminary report. J Vasc Surg 7:347–355PubMed

77.

Swischuk JL, Fox PF, Young K et al (2001) Transcatheter intraarterial infusion of rt-PA for acute lower limb ischemia: results and complications. J Vasc Interv Radiol 12:423–430PubMedCrossRef

78.

Braithwaite BD, Buckenham TM, Galand RB et al (1997) A prospective randomized trial of high dose versus low dose tissue plasminogen activator infusion in the management of acute limb ischemia. Br J Surg 84:646–650PubMedCrossRef

79.

Verstraete M, Hess H, Mahler F et al (1988) Femoro-popliteal artery thrombolysis with intra-arterial infusion of recombinant tissue-type plasminogen activator—report of a pilot trial. Eur J Vasc Surg 2:155–159PubMedCrossRef

80.

Castaneda F, Swischuk JL, Li R et al (2002) Declining dose study of reteplase treatment for lower extremity arterial occlusions. J Vasc Interv Radiol 13:1093–1098PubMedCrossRef

81.

Burkart DJ, Borsa JJ, Anthony JP et al (2003) Thrombolysis of acute peripheral arterial and venous occlusions with tenecteplase and eptifibatide: a pilot study). J Vasc Interv Radiol 14:729–733PubMed

82.

Adgey J, Ardissino D et al (1999) Single-bolus tenecteplase compared with front-loaded alteplase in acute myocardial infarction: the ASSENT-2 double-blind randomised trial. Assessment of the Safety and Efficacy of a New Thrombolytic (ASSENT-2) Investigators. Lancet 354(9180):716–722PubMedCrossRef

83.

Van de Werf F, Barron HV, Armstrong PW et al (2001) Incidence and predictors of bleeding events after fibrinolytic therapy with fibrin-specific agents A comparison of TNK-tPA and rt-PA. Eur Heart J 22:2253–2261PubMedCrossRef

84.

Melandri G, Vagnarelli F, Calabrese D (2009) Review of tenecteplase (TNKase) in the treatment of acute myocardial infarction. Vasc Health Risk Manag 5(1):249–256PubMedCrossRef

85.

The International Study Group (1990) In-hospital mortality and clinical course of 20, 891 patients with suspected acute myocardial infarction randomised between alteplase and streptokinase with or without heparin. Lancet 336:71–75CrossRef

86.

The GUSTO Investigators (1993) An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction. N Engl J Med 329:673–682CrossRef

87.

Robertson I, Kessel DO, Berridge DC (2010) Fibrinolytic agents for peripheral arterial occlusion. Cochrane Database Syst Rev 3:CD001099PubMed

88.

Jivegard L, Holm J, Schersten T et al (1986) Arterial Thromboembolectomy-Should anti-coagulants be administrated? Acta Chir Scan 152:493–497

89.

Rath B, Bennett DH (1990) Monitoring the effect of heparin by measurement of activated clotting time during and after PTCA. Br Hearty J 63:18–21CrossRef

90.

LeBlang SD, Becker CJ, Benenati JF et al (1992) Low-dose urokinase regimen for the treatment of lower extremity arterial and graft occlusions: experience in 132 cases. J Vasc Interv Radiol 3:475–483PubMedCrossRef

91.

Valji K (2000) Evolving strategies for thrombolytic therapy of peripheral vascular occlusions. J Vasc Interv Radiol 11:411–420PubMedCrossRef

92.

Braithwaite BD, Buckenham TM, Galland RB et al (1997) Prospective randomized trial of high dose bolus versus low-dose tissue plasminogen activator infusion in the management of acute limb ischaemia. Thrombolysis Study Group. Br J Surg 84:646–650PubMedCrossRef

93.

Nilsson L, Albrechtsson U, Jonung T et al (1992) Surgical treatment versus thrombolysis in acute arterial occlusion: a randomized controlled study. Eur J Vasc Surg 6:189–193PubMedCrossRef

94.

Weaver Fa, Camerota AJ, Youngblood M et al (1996) Surgical revascularization versus thrombolysis for nonembolic lower extremity native artery occlusions: results of a prospective randomized trial. J Vasc Surg 24:513–523PubMedCrossRef

95.

Cammerota A, Gravett M (2009) Do randomized trials of thrombolysis versus open revascularization still apply to current management: what has changed? Semin Vasc Surg 22:41–46CrossRef

96.

McNamara TO, Bomberger RA (1986) Factors affecting initial and six month patency rates after intraarterial thrombolysis with high dose urokinase. Am J Surg 152:709–712PubMedCrossRef

97.

Durham JD, Rutherford RB (1992) Assessment of long-term efficacy of fibrinolytic therapy in the ischemic extremity. Semin Intervent Radiol 9:166–173CrossRef

98.

Elliason JL, Wainess RM, Proctor MC et al (2003) A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia. Ann Surg 238(3):382–389

99.

Kandarpa K (2004) Safety of thrombolytic therapy with urokinase or recombinant tissue plasminogen activator for peripheral arterial occlusion: a comprehensive compilation of published work. J Endovasc Ther 11(4):436–446PubMedCrossRef

100.

Starck EE, McDermott JC, Turnipseed WD et al (1985) Percutaneous aspiration thrombectomy. Radiology 156:61–66PubMed

101.

Sniderman KW, Bodner L, Saddekni S et al (1984) Percutaneous embolectomy by transcatheter aspiration. Work in progress. Radiology 150:357–361PubMed

102.

Wagner HJ, Starck EE (1992) Acute embolic occlusions of the infrainguinal arteries: percutaneous aspiration embolectomy in 102 patients. Radiology 182:403–407PubMed

103.

Wagner HJ, Starck EE, Reuter P (1994) Long-term results of percutaneous aspiration embolectomy. Cardiovasc Intervent Radiol 17:241–246PubMedCrossRef

104.

Sniderman KW, Bodner L, Saddekni S et al (1984) Percutaneous embolectomy by transcatheter aspiration.Work in progress. Radiology 150:357–361PubMed

105.

Zehnder T, Birrer M, Do DD et al (2000) Percutaneous catheter thrombus aspiration for acute or subacute arterial occlusion of the legs: how much thrombolysis is needed? Eur J Vasc Endovasc Surg 20:41–46PubMedCrossRef

106.

Rilinger N, Lutz P, Häberle HJ, Tomczak R, Liewald F, Orend KH, Pfeifer T, Friedrich JM (1994) Percutaneous aspiration thromboembolectomy in the treatment of acute occlusion of the lower leg arteries. Aktuelle Radiol 4(5):253–255PubMed

107.

Cleveland TJ, Cumberland DC, Gaines PA (1994) Percutaneous aspiration thromboembolectomy to manage the embolic complications of angioplasty and as an adjunct to thrombolysis. Radiology 49:549–552

108.

Vorwerk D (2006) Mechanical thrombectomy is an alternative way to go: The European Experience Commentary on: Quality improvement guidelines for percutaneous management of acute limb ischemia. Cardiovasc Intervent Radiol 29:7–10PubMedCrossRef

109.

Kasirajan K, Haskal ZJ, Ouriel K (2003) The use of mechanical thrombectomy devices in the management of acute peripheral arterial occlusive disease. J Vasc Interv Radiol 12:405–411CrossRef

110.

Lajvardi A, Trerotola SO, Strandberg et al (1995) Evaluation of venous injury caused by a percutaneous mechanical thrombectomy device. Cardiovasc Intervent Radiol 18:172–178PubMedCrossRef

111.

Castañeda F, Smouse HB, Swischuk JL et al (2000) Pharmacological thrombolysis with use of the brush catheter in canine thrombosed femoropopliteal arterial PTFE bypass grafts. J Vasc Interv Radiol 11:503–508PubMedCrossRef

112.

Görich J, Rilinger N, Sokiranski R et al (1998) Mechanical thrombolysis of acute occlusion of both the superficial and deep femoral arteries using a thrombectomy device. AJR Am J Roentgenol 170:1177–1180PubMed

113.

Tadavarthy SM, Murray PD, Inampudi S et al (1994) Mechanical thrombectomy with the Amplatz device: human experience. J Vasc Interv Radiol 5:715–724PubMedCrossRef

114.

Uflacker R (1997) Mechanical thrombectomy in acute and subacute thrombosis with use of the Amplatz device: arterial and venous applications. J Vasc Interv Radiol 8:923–932PubMedCrossRef

115.

Grimm J, Jahnke T, Muhle C et al (2003) Influence of thrombus age on the mechanical thrombectomy efficacy of the Amplatz thrombectomy device in vitro. Cardiovasv Intervent Radiol 26(3):265–268CrossRef

116.

Schmitt HE, Jäger KA, Jacob AL, Mohr H, Labs KH, Steinbrich W (1999) A New Rotational Thrombectomy Catheter: System Design and First Clinical Experience. Cardiovasc Intervent Radiol 22:504–509PubMedCrossRef

117.

Duc SR, Schoch E, Pfyffer M, Jenelten R et al (2005) Recanalization of acute and subacute femoropopliteal artery occlusions with the Rotarex catheter: one-year follow-up, single-center experience. Cardiovasc Intervent Radiol 28(5):603–610PubMedCrossRef

118.

Stanek F, Ouhrabkova R, Prochazka D (2010) Mechanical thrombectomy using the Rotarex catheter–safe and effective method in the treatment of peripheral arterial thromboembolic occlusions. VASA 39(4):334–340PubMedCrossRef

119.

Van Ommen VG, van der Veen FH, Geskes GG et al (1996) Comparison of arterial wall reaction after passage of the Hydrolyser device versus a thrombectomy balloon in an animal model. J Vasc Interv Radiol 7:451–454PubMedCrossRef

120.

Bucker A, Schmitz-Rode T, Vorwerk D, Gunther R (1996) Comparative in vitro study of two percutaneous hydrodynamic thrombectomy systems. J Vasc Interv Radiol 7:445–449PubMedCrossRef

121.

Reekers JA, Kromhout JG, Spithoven HG et al (1996) Arterial thrombosis below the inguinal ligament: percutaneous treatment with a thrombosuction catheter. Radiology 198:49–53PubMed

122.

Wagner HJ, Müler-Hülsbeck S, Pitton MB, Weiss W, Wess M (1997) Rapid thrombectomy with a hydrodynamic catheter: results from a prospective, multicenter trial. Radiology 205:675–681PubMed

123.

Silva JA, Ramee SR, Collins TJ et al (1998) Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multicenter AngioJet registry. Cathet Cardiovasc Diagn 45:386–393PubMedCrossRef

124.

Kasirajan K, Beavers FP, Clair DG et al (2001) Rheolytic thrombectomy in the management of acute and subacute limb threatening ischemia. J Vasc Interv Radiol 12:413–420PubMedCrossRef

125.

Sharafuddin MJ, Hicks ME, Jennson ML et al (1997) Rheolytic thrombectomy with the Angiojet-F105 catheter: preclinical evaluation of safety. J Vasc Interv Radiol 8:939–945PubMedCrossRef

126.

Hopfner W, Vicol C, Bohndorf K, Loeprecht H (1999) Shredding embolectomy thrombectomy catheter for treatment of acute lower-limb ischemia. Ann Vasc Surg 13:426–435PubMedCrossRef

127.

Gardiner GA, Meyerovitz NF, Stokes KR et al (1986) Complications of transluminal angioplasty. Radiology 159:201–208PubMed

128.

Baglin TP (2001) Heparin induced thrombocytopenia thrombosis (HIT/T) syndrome: diagnosis and treatment. J Clin Pathol 51:272–274CrossRef

129.

Di Nisio M, Middeldorp S, Buller H (2005) Direct thrombin inhibitors. N Engl J Med 353:1028–1040PubMedCrossRef

130.

Risius B, Graor RA, Geisinger MA et al (1986) Recombinant human tissue-type plasminogen activator for thrombolysis in peripheral arteries and bypass grafts. Radiology 160:183–188PubMed

131.

Dormandy J, Heeck L, Vig S (1999) Acute limb ischemia. Sem Vasc Surg 12:148–153

132.

Müller-Hülsbeck S, Kalinowski M, Heller M et al (2000) Rheolytic hydrodynamic thrombectomy for percutaneous treatment of acutely occluded infra-aortic native arteries and bypass grafts: midterm follow-up results. Invest Radiol 35:131–140PubMedCrossRef

Title: Quality Improvement Guidelines for Percutaneous Catheter-Directed Intra-Arterial Thrombolysis and Mechanical Thrombectomy for Acute Lower-Limb Ischemia
Authors: Dimitris Karnabatidis
Stavros Spiliopoulos
Dimitrios Tsetis
Dimitris Siablis
Publication date: 01-12-2011
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-011-0258-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quality Improvement Guidelines for Percutaneous Catheter-Directed Intra-Arterial Thrombolysis and Mechanical Thrombectomy for Acute Lower-Limb Ischemia

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 6/2011

Ovarian Artery Embolization in Patients With Collateral Supply to Symptomatic Uterine Leiomyomata

Interlocking Detachable Coil Embolization by Technique of Dumbbell-Shaped Framing and Filling and Bridge Formation Under Balloon Dilatation for Huge Conglomerate Pulmonary Arteriovenous Malformation

Midterm Follow-Up After Prostate Embolization in Two Patients with Benign Prostatic Hyperplasia

Endovascular Treatment of Phlegmasia Cerulea Dolens with Impending Venous Gangrene: Manual Aspiration Thrombectomy as the First-Line Thrombus Removal Method

Erratum to: Subclavian Vein Versus Arm Vein for Totally Implantable Central Venous Port for Patients with Head and Neck Cancer: A Retrospective Comparative Analysis

Angiographic Evaluation of Feeding Arteries of Hepatocellular Carcinoma in the Caudate Lobe of the Liver