The use of rotational thrombectomy in the treatment of arterial thrombosis


  • V.V. Petrushenko
  • Ya.V. Khrebtii
  • O.M. Skupyi
  • O.I. Mitiuk
  • S.A. Cheshenchuk
Keywords: rotation thrombectomy, arterial thrombosis, rotarex

Abstract

Rotation thrombectomy is a modern method of treating peripheral arterial disease. To date, there are no randomized studies regarding rotational thrombectomy. We want to share our own results in the treatment of patients with arterial thrombosis in the treatment of 8 patients with arteriosclerosis of the lower extremities, complicated by thrombosis using Rotarex. Patients noted the acute onset of the disease, but were referred to the clinic after 2 weeks since the onset of clinical signs of the disease. All patients underwent ultrasound examination, arteriography of the affected arterial segment. After treatment, all patients underwent control angiography. During the procedure, heparin and clopidogrel were administered. One patient had systemic lupus erythematosus. Patients had thrombosis of the femoro-popliteal arterial segments. All patients had a critical ischemia of the lower extremities. Men were 6, women — 2. 2 (25%) of patients had thrombosis of the stent of the superficial femoral artery. In 8 (100%) cases, rotational thrombectomy with rotary catheter was used. For the procedure, catheters with a diameter of 6F and a length of 110–135 cm were used. During the procedure, a catheter was performed from 3 to 5 passages in the affected segment. Duration of the procedure was 1.5–2 hours. In 6 (75%) cases, after the thrombectomy, ballooning of the affected segment was used with a balloon covered with polytaxel. In 8 (100%) patients, there was a clinical improvement. In 8 (100%) patients, control arteriography showed complete patency of the affected segments of the femoral and popliteal arteries. In 8 patients, ischemia was regressed. Cases of rethrombosis were not observed. Thus, rotation thrombectomy is a modern and effective method of treatment of arterial thrombosis of the femoral and popliteal segment.

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Published
2018-09-28
How to Cite
Petrushenko, V., Khrebtii, Y., Skupyi, O., Mitiuk, O., & Cheshenchuk, S. (2018). The use of rotational thrombectomy in the treatment of arterial thrombosis. Reports of Vinnytsia National Medical University, 22(3), 464-467. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2018-22(3)-13

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