Use of a Novel Mechanical Rinsing and Aspiration Thrombectomy Device for Treatment of Deep Venous and Arteriovenous Graft Thrombosis

Hariri, A.; LoPresti, David C.; Miller, Franklin J.; Kuo, Michael

doi:10.1016/j.jvir.2006.12.718

Cited by 3 publications

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“…Initially designed for thrombectomy in coronary and peripheral arteries, recent reports have demonstrated success in the treatment of deep venous and arteriovenous graft thromboses. 9,10 The Rinspirator catheter has a distal segment containing multiple side holes that allow forceful spray of a flush solution and an end hole for aspiration (Fig 3, B). The macerating effect of the spray allows for loosening of the thrombus and aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis included ischemia, infection, or obstruction. The next morning, the patient was transferred to our institution for further evaluation.Laboratory data on admission demonstrated a white blood cell count of 22,100 (reference range, 3.4-9.8ϫ [10] 3 ), creatinine level of 1.5 mg/dL (reference range, 0.7-1.3 mg/dL), measured glomerular filtration rate of 61.9 mL/min (reference range, Ͼ60 mL/min), and a lactate dehydrogenase (LDH) level of 1799 U/L (reference range, 110-213 U/L). A urinalysis demonstrated large amounts of blood, proteinuria, and 1ϩ bacteria per high-power field.…”

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Bacterial endocarditis presenting with unilateral renal artery occlusion treated with the Rinspirator Thrombus Removal System rinsing and thrombectomy device and suction thrombectomy

Allen

Warren

2009

Journal of Vascular Surgery

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We report a 36-year-old man who presented with unilateral flank pain caused by renal artery occlusion with ischemia and infarction from septic emboli secondary to bacterial endocarditis. We treated the occlusion with a novel rinsing and aspiration device, the Rinspirator Thrombus Removal System (ev3, The presentation of flank pain in younger patients may be secondary to a variety of etiologies such as renal, musculoskeletal, or dermatologic processes, with common causes being renal colic from infection or urolithiasis. Renal ischemia and infarction due to emboli is a rare cause of flank pain. Treatment of acute embolic events to the kidney must proceed rapidly to prevent loss of renal tissue. We present a case of a young man who presented with acute flank pain secondary to septic emboli from bacterial endocarditis with infarction and ischemia of a unilateral kidney. The affected renal artery was revascularized using the Rinspirator Thrombus Removal System (ev3, Plymouth, Minn) device and suction thrombectomy. Institutional Review Board approval was not required for this report.Plymouth CASE REPORTA 36-year-old man presented to a local emergency department complaining of extremity pain and paresthesias, abdominal pain localizing to his right flank, fever, chills, night sweats, nausea, and vomiting. An abdominal computed tomography (CT) scan with contrast demonstrated a striated nephrogram appearance of the right kidney and a normal left kidney (Fig 1). The differential diagnosis included ischemia, infection, or obstruction. The next morning, the patient was transferred to our institution for further evaluation.Laboratory data on admission demonstrated a white blood cell count of 22,100 (reference range, 3.4-9.8ϫ [10] 3 ), creatinine level of 1.5 mg/dL (reference range, 0.7-1.3 mg/dL), measured glomerular filtration rate of 61.9 mL/min (reference range, Ͼ60 mL/min), and a lactate dehydrogenase (LDH) level of 1799 U/L (reference range, 110-213 U/L). A urinalysis demonstrated large amounts of blood, proteinuria, and 1ϩ bacteria per high-power field. Results of blood cultures were negative. Physical examination revealed right flank pain and splinter hemorrhages of the nail beds. Gadolinium-enhanced renal magnetic resonance imaging demonstrated apparent occlusion of the right renal artery and multiple renal infarcts. Heparin therapy was started, and an arteriogram was requested approximately 48 hours after admission.Standard arteriogram risks and treatment options to include thrombectomy and thrombolysis, and alternative surgical options were discussed, and a signed consent was obtained. A nonselective renal arteriogram was performed to delineate the extent of narrowing or occlusion of the right renal artery and possible therapeutic options. The arteriogram demonstrated multiple filling defects in the right renal artery, with antegrade flow and areas of hypoperfusion. The left renal artery appeared normal.The findings were consistent with an embolic source, and treatment was instituted to prevent possible migration an...

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Bacterial endocarditis presenting with unilateral renal artery occlusion treated with the Rinspirator Thrombus Removal System rinsing and thrombectomy device and suction thrombectomy

Allen

Warren

2009

Journal of Vascular Surgery

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A review of thrombectomy devices

Ahmed¹,

Latib

2012

Expert Review of Medical Devices

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Acute coronary syndrome is associated with a high incidence of thrombus. The presence of coronary thrombus is often not appreciated on coronary angiography; however, simultaneous use of angioscopy or intravascular ultrasound increases the detection of thrombus. Forceful coronary injection, passage of intracoronary devices, balloon angioplasty and stenting in the presence of thrombus contribute to distal embolization by disrupting the thrombus. Clinically, intracoronary thrombus is associated with higher rates of death, myocardial infarction and target vessel revascularization. Removal of thrombus results in the improvement of markers of perfusion, which includes resolution of ST segment elevation, higher myocardial blush grade, and an increase in final thrombolysis in myocardial infarction flow as well as lower mortality. In this article, the authors discuss different mechanical thrombectomy devices and the literature available for their use in acute coronary syndrome.

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Prevention, Diagnostics and Treatment of Deep Vein Thrombosis. Russian Experts Consensus

Seliverstov,

Lobastov,

Ilyukhin

et al. 2023

Flebol.

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Use of a Novel Mechanical Rinsing and Aspiration Thrombectomy Device for Treatment of Deep Venous and Arteriovenous Graft Thrombosis

Cited by 3 publications

References 4 publications

Bacterial endocarditis presenting with unilateral renal artery occlusion treated with the Rinspirator Thrombus Removal System rinsing and thrombectomy device and suction thrombectomy

Bacterial endocarditis presenting with unilateral renal artery occlusion treated with the Rinspirator Thrombus Removal System rinsing and thrombectomy device and suction thrombectomy

A review of thrombectomy devices

Prevention, Diagnostics and Treatment of Deep Vein Thrombosis. Russian Experts Consensus

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