Percutaneous thrombectomy of Impella‐associated iliac artery thrombosis using the FlowTriever system

Said, Ahmed; Sayed, Luay

doi:10.1002/ccr3.3226

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…This unique case was successful as demonstrated by the rapid restoration of blood flow, elimination of symptoms, and no notable post-procedural outcomes. This patient also had no bleeding events following the procedure, as thrombolytic therapy was not needed, minimizing the risk of bleeding [4] , [5] , [6] , [7] , Figs. 1 - 4 .…”

Section: Discussionmentioning

confidence: 93%

Successful removal of a thrombus in the setting of SVC syndrome using the INARI FlowTriever device

Sousou

Sherard

Edwards

et al. 2022

Radiology Case Reports

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This case report describes a 56-year-old female who presented to the emergency department with diffuse facial and bilateral upper extremity swelling. The patient has a past medical history of Superior vena cava (SVC) syndrome secondary to a clot around her port-a-cath, adenocarcinoma of the lungs status post chemotherapy and radiation, hyperlipidemia, rheumatoid arthritis, diverticulitis status post colon resection, and hypothyroidism. Imaging confirmed the presence of a thrombus obstructing the SVC, likely due to her hypercoagulable state. This case report details the successful removal of a thrombus using the FlowTriever device by INARI in a patient with SVC syndrome. Although indicated for treatment of PE, FlowTriever has shown success in other conditions and nearly eliminates the risk of bleeding without the need for administering thrombolytics, as explained below in the setting of SVC syndrome.

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Section: Discussionmentioning

confidence: 93%

Successful removal of a thrombus in the setting of SVC syndrome using the INARI FlowTriever device

Sousou

Sherard

Edwards

et al. 2022

Radiology Case Reports

View full text Add to dashboard Cite

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Increased risk of purge system malfunction after Impella 5.0 replacement: a case series

et al. 2022

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Evaluation and optimization of interventional blood pump based on hydraulic performances and hemocompatibility performances

Li,

Zhang,

Sun

et al. 2024

Physics of Fluids

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This study was designed to investigate the effects of hemodynamic environment and design factors on the hydraulic performance and hemocompatibility of interventional blood pumps using computational fluid dynamics methods combined with specialized mathematical models. These analyses assessed how different hemodynamic environments (such as support mode and artery size) and blood pump configurations (including entrance/exit blade angles, rotor diameter, blade number, and diffuser presence) affect hydraulic performance indicators (rotational speed, flow rate, pressure head, and efficiency) and hemocompatibility indicators (bleeding, hemolysis, and thrombosis). Our findings indicate that higher perfused flow rates necessitate greater rotational speeds, which, in turn, reduce both efficiency and hemocompatibility. As the artery size increases, the hydraulic performance of the pump improves but at the cost of worsening hemocompatibility. Among the design parameters, optimal configurations exist that balance both hydraulic performance and hemocompatibility. Notably, a configuration without a diffuser demonstrated better hydraulic performance and hemocompatibility compared to one with a diffuser. Further analysis revealed that flow losses primarily contribute to the degradation of hydraulic performance and deterioration of hemocompatibility. Shear stress was identified as the major cause of blood damage in interventional blood pumps, with residence time having a limited impact. This study comprehensively explored the effects of operating environment and design parameters on catheter pump performance using a multi-faceted blood damage model, providing insights into related complications from a biomechanical perspective. These findings offer valuable guidance for engineering design and clinical treatment.

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Percutaneous thrombectomy of Impella‐associated iliac artery thrombosis using the FlowTriever system

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 4 publications

References 15 publications

Successful removal of a thrombus in the setting of SVC syndrome using the INARI FlowTriever device

Successful removal of a thrombus in the setting of SVC syndrome using the INARI FlowTriever device

Increased risk of purge system malfunction after Impella 5.0 replacement: a case series

Evaluation and optimization of interventional blood pump based on hydraulic performances and hemocompatibility performances

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