Successful Case of Thrombo-aspiration Using a 8-Fr Long Sheath into 10-Fr Short Sheath for Subacute Limb Ischemia.

Successful Case of Thrombo-aspiration Using a 8-Fr Long Sheath into 10-Fr Short Sheath for Subacute Limb Ischemia. J Nippon Med Sch. 2020 Nov 30;: Authors: Kiuchi K, Matsushita M, Takano M, Miyauchi Y, Shimizu W Abstract A 79-year-old man, with a history of atrial fibrillation, presented with a sudden onset of intermittent claudication of the left lower limb. The angiogram revealed a thrombotic total occlusion in the left superficial femoral artery (SFA). A 10-Fr sheath was antegradely inserted into the left common femoral artery (CFA), and the guidewire penetrated the lesion. Thrombo-aspiration using the 8-Fr long sheath into the 10-Fr short sheath was performed repeatedly. Intravenous anticoagulant was administrated immediately after the endovascular treatment. Follow-up angiogram performed 12 days after the procedure confirmed the absence of any residual thrombus in the SFA. Thrombo-aspiration, using a large-diameter catheter, is a feasible strategy for the treatment of acute and subacute limb ischemia, and is cost-effective. PMID: 33250478 [PubMed - as supplied by publisher]
Source: Journal of Nippon Medical School - Category: Universities & Medical Training Authors: Tags: J Nippon Med Sch Source Type: research