Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex cathete
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(2020) 15:278
RESEARCH ARTICLE
Open Access
Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter Hong-Zhi Yu, Xiao-Bo Guo, Zhao Liu, Zhe Zhang, Hai Feng and Xue-Ming Chen*
Abstract Background: To summarize our experience of endovascular treatment for abdominal aorta saddle embolism (ASE) through percutaneous mechanical thrombectomy (PMT). Methods: Clinical data of three ASE patients treated with an endovascular approach using percutaneous mechanical thrombectomy (PMT) were reviewed and analyzed. Results: After PMT, blood flow of limbs was restored in all of the three patients. However, two patients died from sudden cardiac arrest caused by hyperkalemia several hours after the procedure. The other one patient survived through continuous renal replacement therapy, which was initialized shortly after the surgical procedure. Conclusion: Endovascular treatment through PMT can quickly restore blood flow in the ASE patients. Blood purification through renal replacement therapy is crucial to reduce mortality after restoring blood flow of the limbs. Keywords: Abdominal aorta saddle embolism (ASE), Endovascular treatment, Percutaneous mechanical thrombectomy (PMT), Continuous blood purification
Background Peripheral arterial embolism is a common disease in the field of vascular surgery, but aortic saddle embolism (ASE) is a rare and critical disease with more severe complications and high death rate. Serious complications or even death may occur even if the ASE could be diagnosed timely and treated properly because of bifurcate embolus “striding” aorta, which may cause arterial obstruction, and serious hemodynamic and metabolic disorders in the femoral arteries in both legs [1–3]. Therefore, once ASE is diagnosed, treatment procedure should be determined immediately based on reasonable clinical judgment. Currently, thrombectomy through * Correspondence: [email protected] Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Road, Xicheng District, Beijing 100050, China
Fogarty catheter incision via both side femoral arteries or thrombectomy through transabdominal abdominal aorta incision are commonly used [1, 4]. Application of endovascular treatment through percutaneous mechanical thrombectomy (PMT) for ASE, however, has rarely been reported. Here, we present three cases of ASE who were treated through PMT via Straub Rotarex catheter (Sraub Medical, Switzerland).
Methods Patients
Total three ASE cases (2 male and one female), who were hospitalized and treated in the Department of Vascular Surgery from October to December 2015, were retrospectively analyzed in the current study. Acute limb ischemia was classified following the Rutherford
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
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