Treatment of acute limb ischemia with a percutaneous mechanical thrombectomy-based endovascular approach: 5-year limb salvage and survival results from a single center series

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
G M AnselMitchell J Silver

Abstract

The study evaluated long-term limb salvage and survival of an endovascular approach that incorporates mechanical thrombectomy (PMT) in the management of arterial thrombosis. Acute limb ischemia is associated with a high risk of amputation and death. Previous reports from the United States (U.S.) of surgical and nonsurgical treatments are limited to primarily 30 days to 1 year. Single-center, retrospective review of 57 consecutive patients (30 male, 27 female; mean age 63.8 +/- 13.8 years) treated for limb threatening ischemia due to thrombotic arterial occlusions. Data includes baseline assessments, procedural outcomes, in-hospital complications, 30-day, and long-term follow-up. Ninety-three percent of patients (n = 53) presented with onset of symptoms (<14 days). Angiography following PMT showed thrombus removal complete/substantial 36 (63.6%), partial 16 (28.0%), and minimal 5 (8.8%), respectively. Catheter-directed thrombolysis was used after PMT in 18 patients (31.6%). In-hospital success with limb salvage was attained in 96.5% (n = 55) with mortality of 3.5% (n = 2). Thirty-day limb salvage and mortality were 94.7% (n = 54) and 5.3% (n = 3), respectively. At mean 5-year follow-up (mean = 62 months), three patients have bee...Continue Reading

References

Feb 6, 1992·The New England Journal of Medicine·M H CriquiD Browner
Aug 1, 1989·European Journal of Vascular Surgery·A E ClasonC V Ruckley
Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
Apr 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·K KasirajanK Ouriel
Sep 12, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Gary M AnselTejas Mehta
Nov 24, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·David E AllieCraig M Walker
Feb 3, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Charles P SembaThomas Patapoff
May 6, 2005·Journal of Vascular and Interventional Radiology : JVIR·Dheeraj K RajanUNKNOWN CIRSE and SIR Standards of Practice Committees

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Citations

May 1, 2011·Cardiovascular Intervention and Therapeutics·Yukiko HonmaRyoji Koshida
Jun 7, 2011·The American Journal of the Medical Sciences·Zehra JafferyChristopher J White
Jan 1, 2013·Journal of Vascular and Interventional Radiology : JVIR·Nilesh H PatelUNKNOWN CIRSE and SIR Standards of Practice Committees
Dec 23, 2011·Annals of Vascular Surgery·Christian Ochoa, Fred A Weaver
Oct 6, 2010·Journal of Vascular and Interventional Radiology : JVIR·Jan P GoltzRalph Kickuth
Aug 12, 2009·Current Problems in Cardiology·Suhail AllaqabandTanvir Bajwa
Mar 21, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Brendan DalyAnand Prasad
May 4, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Akihiro HigashimoriYoshiaki Yokoi
Apr 19, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Raghav Gupta, Thomas A Hennebry
Dec 3, 2014·Annals of Vascular Surgery·Jasper van der SlegtLijckle van der Laan
Oct 8, 2013·Vascular Medicine·Yabiz SedghiChristopher J White
May 13, 2017·Vascular Medicine·UNKNOWN Writing Committee MembersDuminda N Wijeysundera
Sep 20, 2011·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sung-Kwan KimYoung-Min Han
May 23, 2020·Therapeutic Advances in Cardiovascular Disease·Keisuke Fukuda, Yoshiaki Yokoi
Jan 4, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Martin BjörckKumud Rai
Oct 27, 2020·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Balaji NatarajanAshis Mukherjee

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