AngioJet® rheolytic thrombectomy for acute superficial femoral artery stent or femoropopliteal by-pass thrombosis

https://doi.org/10.4081/monaldi.2010.271

Authors

  • Francesco Borgia | espogiov@unina.it Division of Cardiology, Federico II University of Naples, Italy.
  • Luigi Di Serafino Division of Cardiology, Federico II University of Naples, Italy.
  • Anna Sannino Division of Cardiology, Federico II University of Naples, Italy.
  • Giuseppe Gargiulo Division of Cardiology, Federico II University of Naples, Italy.
  • Gabriele Giacomo Schiattarella Division of Cardiology, Federico II University of Naples, Italy.
  • Mario De Laurentis Division of Cardiology, Federico II University of Naples, Italy.
  • Laura Scudiero Division of Cardiology, Federico II University of Naples, Italy.
  • Cinzia Perrino Division of Cardiology, Federico II University of Naples, Italy.
  • Federico Piscione Division of Cardiology, Federico II University of Naples, Italy.
  • Giovanni Esposito Division of Cardiology, Federico II University of Naples, Italy.
  • Massimo Chiariello Division of Cardiology, Federico II University of Naples, Italy.

Abstract

Thrombosis of superficial femoral artery (SFA) nitinol stents or polytetrafluoroethylene (PTFE) femoropopliteal bypass grafts after discontinuation of antiplatelet therapy is an emergent clinical challenge of acute limb ischemia (ALI), requiring immediate percutaneous intervention. Currently, there is no evidence-based approach for the management of such complications. We describe the cases of two patients presenting with ALI due to nitinol stent thrombosis after discontinuation of antiplatelet therapy and the case of a patient presenting with ALI due to PTFE femoropopliteal graft thrombosis in which limb salvage was obtained by AngioJet® rheolytic thrombectomy and re-stenting. In both cases, the thrombus was successfully removed using the Possis AngioJet® mechanical thrombectomy catheter and percutaneous transluminal angioplasty (PTA) was performed to recanalize two femoropopliteal nitinol stents and a femoropopliteal PTFE graft. In both cases, optimal angiographic result was obtained. To the best of our knowledge, these are the first three cases reporting the use of the AngioJet rheolytic thrombectomy in ALI due to stent or graft thrombosis. Taken together, these cases suggest that AngioJet® rheolytic thrombectomy might represent a novel effective strategy in the percutaneous treatment of stent or graft thrombosis determining ALI.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Downloads

Published
2015-12-23
Info
Issue
Section
Case Reports
Keywords:
acute limb ischemia, AngioJet® rheolytic thrombectomy, stent thrombosis
Statistics
  • Abstract views: 774

  • PDF: 435
How to Cite
Borgia, Francesco, Luigi Di Serafino, Anna Sannino, Giuseppe Gargiulo, Gabriele Giacomo Schiattarella, Mario De Laurentis, Laura Scudiero, Cinzia Perrino, Federico Piscione, Giovanni Esposito, and Massimo Chiariello. 2015. “AngioJet® Rheolytic Thrombectomy for Acute Superficial Femoral Artery Stent or Femoropopliteal by-Pass Thrombosis”. Monaldi Archives for Chest Disease 74 (2). https://doi.org/10.4081/monaldi.2010.271.

Most read articles by the same author(s)

1 2 > >>