Urgent Mechanical Thrombectomy by Indigo System® in Acute Thrombosed Popliteal Artery Aneurysms: A Report of Two Cases.


Journal

Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 14 08 2018
revised: 19 08 2019
accepted: 19 08 2019
pubmed: 28 10 2019
medline: 7 7 2020
entrez: 25 10 2019
Statut: ppublish

Résumé

The aim of this study is to report the outcome of immediate and direct revascularization by mechanical thrombectomy in acute limb ischemia due to thrombosed popliteal artery aneurysm (PAA). Two patients with acute limb ischemia due to PAA thrombosis were admitted at our hospital, and immediately treated by mechanical thrombectomy (Indigo System). The first patient had a complete recanalization after thrombectomy, while the second one required urokinase infusion (12 hr) due to a suboptimal result. After revascularization, both patients were treated by a polytetrafluoroethylene bypass to definitively exclude PAA. Follow-up showed the patency of the femoropopliteal bypass with good distal outflow. In these 2 reported cases, the Indigo System® has proven to be safe and effective, allowing an immediate limb reperfusion, reducing the necessity for thrombolytic drug infusion.

Identifiants

pubmed: 31648033
pii: S0890-5096(19)30788-5
doi: 10.1016/j.avsg.2019.08.100
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

458.e1-458.e6

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Wassim Mansour (W)

Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico "Umberto I", "Sapienza" University of Rome, Rome, Italy.

Pasqualino Sirignano (P)

Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico "Umberto I", "Sapienza" University of Rome, Rome, Italy. Electronic address: pasqualino.sirignano@uniroma1.it.

Laura Capoccia (L)

Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico "Umberto I", "Sapienza" University of Rome, Rome, Italy.

Federica Fornelli (F)

Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico "Umberto I", "Sapienza" University of Rome, Rome, Italy.

Francesco Speziale (F)

Department of Surgery "Paride Stefanini", Vascular and Endovascular Surgery Unit, Policlinico "Umberto I", "Sapienza" University of Rome, Rome, Italy.

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Classifications MeSH