A single institutional experience with suction thrombectomy in acute mesenteric ischemia

Mak, Allison K.; Andraska, Elizabeth; Reitz, Katherine M.; Chaer, Rabih A.; Eslami, Mohammed H; Avgerinos, Efthimios D.

doi:10.1016/j.avsurg.2022.100070

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…In our study, the 30-day mortality rate was 40 %, which is consistent with the study by Freitas et al [3]. However, other studies reported significantly lower mortality rates [7,14]. For example, the 30-day mortality rate reported by Jia et al was 9.5 % [14].…”

Section: Discussionsupporting

confidence: 92%

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Safety, Efficacy and Outcome of Rotational Thrombectomy assisted Endovascular Revascularisation of the Superior Mesenteric Artery in Acute Thromboembolic Mesenteric Ischaemia

Thurner,

Peter,

Dalla Torre

et al. 2024

Rofo

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Purpose To evaluate the efficacy and safety of percutaneous rotational thrombectomy-assisted endovascular revascularization of acute thromboembolic superior mesenteric artery occlusions in acute mesenteric ischemia. Materials and Methods Fifteen cases of percutaneous rotational thrombectomy- assisted (Rotarex S, BD, USA) revascularization were retrospectively analyzed. The etiology was embolic in 40 % of cases and thrombotic in 60 %. A “Thrombectomy in Visceral Ischemia” (TIVI) 5-point score determined vessel patency at presentation, after percutaneous rotational thrombectomy, and after adjunctive technologies. TIVI 3 indicated nearly complete revascularization (minimal residual side branch thrombus). TIVI 4 indicated complete revascularization. Technical success was defined as successful device application and a final TIVI score of 3/4 after adjunctive technologies. Safety and outcome were also analyzed. Results Device application via femoral access was feasible in 100 % of cases and improved flow in 86.7 % of cases (1 × TIVI 0→1, 11 × TIVI 0→2, 1 × TIVI 1→2). There was no change in 13.3 % of cases (2 × TIVI 2→2). Additional devices resulted in further flow improvement in 93.3 % of cases (8 × TIVI 3, 6 × TIVI 4). One recanalization failed (TIVI 2→2→2). After adjunctive technologies (10 × manual aspiration, 11 × angioplasty, 9 × stenting), the technical success rate was 93.3 %. The mean procedure time was 40.5(± 14) minutes for embolism and 72.1(± 20) minutes for thrombosis. There was one device-related major complication (catheter tip fracture) resulting in a device-related safety rate of 93.3 %. The overall major complication rate was 20 %. Surgical exploration (13 ×), bowel resection (9 ×) and Fogarty embolectomy/bypass (3 ×) were also performed. The 30-day mortality rate was 40 %. Conclusion Percutaneous rotational thrombectomy is an effective adjunct for rapid endovascular recanalization of acute thromboembolic superior mesenteric artery occlusions with an acceptable rate of major procedural complications. Key Points

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Section: Discussionsupporting

confidence: 92%

“…They may therefore facilitate endovascular visceral revascularization procedures in occlusive AMI by allowing rapid thrombus removal and additional atherectomy. However, data on their use in visceral arteries are scarce [3][4][5][6][7].…”

Section: Kernaussagenmentioning

confidence: 99%

Safety, Efficacy and Outcome of Rotational Thrombectomy assisted Endovascular Revascularisation of the Superior Mesenteric Artery in Acute Thromboembolic Mesenteric Ischaemia

Thurner,

Peter,

Dalla Torre

et al. 2024

Rofo

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“…In addition to our case report, others have reported technical success with the Penumbra suction thrombectomy system for AMI. 6 , 7 In recent years, an endovascular-first approach has become more popular owing to the improved 30-day mortality and decreased length of stay with endovascular strategies. 2 , 3 , 4 A large analysis from the National Surgery Quality Improvement Program showed a 2.5-fold decrease in the risk of death associated with endovascular-first therapy.…”

Section: Discussionmentioning

confidence: 99%

Penumbra aspiration thrombectomy of the superior mesenteric artery for mesenteric ischemia

Creisher¹,

Palvannan²,

Salvatore³

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Interventional Radiology in Treating Acute Mesenteric Arterial Occlusion: A Narrative Review

Sasaki,

Okada,

Yamaguchi

et al. 2025

Interventional Radiology

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A single institutional experience with suction thrombectomy in acute mesenteric ischemia

Cited by 3 publications

References 13 publications

Safety, Efficacy and Outcome of Rotational Thrombectomy assisted Endovascular Revascularisation of the Superior Mesenteric Artery in Acute Thromboembolic Mesenteric Ischaemia

Safety, Efficacy and Outcome of Rotational Thrombectomy assisted Endovascular Revascularisation of the Superior Mesenteric Artery in Acute Thromboembolic Mesenteric Ischaemia

Penumbra aspiration thrombectomy of the superior mesenteric artery for mesenteric ischemia

Interventional Radiology in Treating Acute Mesenteric Arterial Occlusion: A Narrative Review

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