What question did this study set out to answer?

To evaluate the immediate efficacy and six-month limb salvage rates of rheolytic thrombectomy in patients presenting with acute limb-threatening ischemia.

December 1, 1998Catheterization and Cardiovascular Diagnosis

Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multicenter AngioJet® registry

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Authors

JSJosé Antônio SilvaSumma Health System SRStephen R. RameeUniversity of New Orleans TCTyrone J. CollinsOchsner Medical Center

Discussion

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Implication

Multicenter registry demonstrates high limb salvage in acute limb-threatening ischemia, indicating a safe alternative for patients ineligible for thrombolytics.

Key Points

To evaluate the immediate efficacy and six-month limb salvage rates of rheolytic thrombectomy in patients presenting with acute limb-threatening ischemia.
Multicenter registry cohort including 21 patients (mean age 68±12 years; 66% male; 22 limbs) presenting within two weeks of acute limb-threatening ischemia onset.
The AngioJet rheolytic thrombectomy system was used in a high-risk cohort where 52% had contraindications to thrombolysis and 57% had severe comorbidities.
Procedural success was achieved in 20 of 22 limbs (91%), with all target vessels confirmed completely occluded by thrombus at baseline angiography.
Acute limb salvage occurred in 18 of 19 limbs (95%) among 18 hospital survivors, alongside three in-hospital deaths from nonvascular causes.
Six-month limb salvage was maintained in 16 of 18 limbs (89%) among 17 surviving patients, with one additional nonvascular death during follow-up.

Cite This Study

Silva et al. (1998) studied this question.

synapsesocial.com/papers/6a92b0b7b1fb2e37bf1f6610 https://doi.org/10.1002/(sici)1097-0304(199812)45:4<386::aid-ccd7>3.0.co;2-q

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Implication

Multicenter registry demonstrates high limb salvage in acute limb-threatening ischemia, indicating a safe alternative for patients ineligible for thrombolytics.

Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multicenter AngioJet® registry

Discussion

Member takes

Implication

Key Points

Cite This Study

Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multicenter AngioJet® registry

Discussion

Member takes

Implication

Key Points

Cite This Study

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