2015
DOI: 10.1016/j.avsg.2014.12.013
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Pharmacomechanical Thrombectomy in the Management of Deep Vein Thrombosis Using the Cleaner Device: An Initial Single-Center Experience

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Cited by 28 publications
(22 citation statements)
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“…Other thrombectomy devices successfully used to treat caval thrombus utilize rotating sinusoidal wires to macerate the clot (36,37). These devices can be used in conjunction with thrombolytic agents for better dispersal throughout the clot.…”
Section: Us Assisted Thrombolysis (Ekos) (Btg Uk) Entailsmentioning
confidence: 99%
See 1 more Smart Citation
“…Other thrombectomy devices successfully used to treat caval thrombus utilize rotating sinusoidal wires to macerate the clot (36,37). These devices can be used in conjunction with thrombolytic agents for better dispersal throughout the clot.…”
Section: Us Assisted Thrombolysis (Ekos) (Btg Uk) Entailsmentioning
confidence: 99%
“…The CleanerXT/Cleaner15 (Argon Medical Devices, Athens, TX, USA) is comprised of a single unit rotating S-wire and the drive motor with a side port which allows infusion of thrombolytics or contrast media. While effective at clearing thrombus, this device potentially can cause emboli and insertion of IVC filter should be considered when using this device to treat DVT (36). The Trellis device (Medtronic, Dublin, Ireland) also utilizes rotating sinusoidal wires but has proximal and distal occluding balloons which allow the infusion of thrombolytic agents to the isolated thrombosed vascular segment and protect clot from embolizing.…”
Section: Us Assisted Thrombolysis (Ekos) (Btg Uk) Entailsmentioning
confidence: 99%
“…However, there are some disadvantages to the PMT methods: increased on-table procedure time, the potential for causing pulmonary embolism and the potential for causing venous valve injury with the devices 2 11. The safety and efficacy of PMT in the treatment of symptomatic DVT with the use of the Cleaner thrombectomy device was demonstrated in previous observational studies 12 13…”
Section: Discussionmentioning
confidence: 99%
“…For devices that only macerate thrombus there is an increased risk for embolization of thrombus that can result in PE (17). The AngioJet system both macerates and removes clot, but also results in hemolysis of red blood cells, which can lead to hemoglobinuria (which can manifests as hematuria), elevated serum potassium level, and acute kidney injury (25).…”
Section: Complicationsmentioning
confidence: 99%
“…As such, poor cardiopulmonary reserve and inability to tolerate PE represents a potential relative contraindication to mechanical thrombectomy. Temporary IVC filtration can be considered in such patients (17).…”
Section: Indications and Contraindicationsmentioning
confidence: 99%