Combined distal embolization protection and rheolytic thrombectomy to facilitate percutaneous revascularization of totally occluded saphenous vein grafts
Totally occluded saphenous vein grafts are difficult to treat percutaneously with a higher likelihood of distal embolization and slow‐flow or no‐reflow during percutaneous interventions. The PercuSurge system, which utilizes a distal balloon occlusive device, has been shown to improve clinical outco...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2003-10, Vol.60 (2), p.212-217 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Gaitonde, Rajdeep S. Sharma, Naveen von der Lohe, Elisabeth Kalaria, Vijay G. |
| description | Totally occluded saphenous vein grafts are difficult to treat percutaneously with a higher likelihood of distal embolization and slow‐flow or no‐reflow during percutaneous interventions. The PercuSurge system, which utilizes a distal balloon occlusive device, has been shown to improve clinical outcomes during saphenous vein graft (SVG) interventions. This device may not be optimal in the setting of heavy thrombus or debris burden, a situation frequently encountered in totally occluded SVGs. Rheolytic thrombectomy facilitates percutaneous interventions by effectively removing intraluminal thrombus and debris but lacks distal embolization protection. We report our experience with the synergistic use of balloon‐based distal embolization protection (PercuSurge) and rheolytic thrombectomy (AngioJet) to optimize percutaneous revascularization of totally occluded SVGs. Catheter Cardiovasc Interv 2003;60:212–217. © 2003 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ccd.10609 |
| format | Article |
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The PercuSurge system, which utilizes a distal balloon occlusive device, has been shown to improve clinical outcomes during saphenous vein graft (SVG) interventions. This device may not be optimal in the setting of heavy thrombus or debris burden, a situation frequently encountered in totally occluded SVGs. Rheolytic thrombectomy facilitates percutaneous interventions by effectively removing intraluminal thrombus and debris but lacks distal embolization protection. We report our experience with the synergistic use of balloon‐based distal embolization protection (PercuSurge) and rheolytic thrombectomy (AngioJet) to optimize percutaneous revascularization of totally occluded SVGs. 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Cardiovasc. Intervent</addtitle><description>Totally occluded saphenous vein grafts are difficult to treat percutaneously with a higher likelihood of distal embolization and slow‐flow or no‐reflow during percutaneous interventions. The PercuSurge system, which utilizes a distal balloon occlusive device, has been shown to improve clinical outcomes during saphenous vein graft (SVG) interventions. This device may not be optimal in the setting of heavy thrombus or debris burden, a situation frequently encountered in totally occluded SVGs. Rheolytic thrombectomy facilitates percutaneous interventions by effectively removing intraluminal thrombus and debris but lacks distal embolization protection. We report our experience with the synergistic use of balloon‐based distal embolization protection (PercuSurge) and rheolytic thrombectomy (AngioJet) to optimize percutaneous revascularization of totally occluded SVGs. Catheter Cardiovasc Interv 2003;60:212–217. © 2003 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>AngioJet distal embolization</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Balloon Occlusion</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Coronary Angiography</subject><subject>coronary angioplasty</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - surgery</subject><subject>Diseases of the cardiovascular system</subject><subject>distal protection device</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Graft Occlusion, Vascular - diagnosis</subject><subject>Graft Occlusion, Vascular - etiology</subject><subject>Graft Occlusion, Vascular - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>PercuSurge</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Reoperation</subject><subject>rheolytic thrombectomy</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - transplantation</subject><subject>saphenous vein graft</subject><subject>stent</subject><subject>Thrombectomy</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1TAQhSMEoqWw4AWQNyCxCPXPjX29RAFaRAUbfqpuLMcZcw1OfLGdQngT3ha3SemKlY_kb-bozKmqxwS_IBjTY2P6IjiWd6pD0lBaC8rP766ayA0_qB6k9A1jLDmV96sDsmmIkFQcVn_aMHRuhB71LmXtEQxd8O63zi6MaB9DBnMt9dijuIPg5-wMyrtY5spXGGaUA7LaOO-yzoD2EM2U9QhhSijCpU5m8jrerAy28MXIzygY46e-WCe938F4xV-CG9HXqG1OD6t7VvsEj9b3qPr05vXH9rQ--3Dytn15Vhu2lbIGYcHoDgvGrdj0vOlASMI4Y1QyaiixVAotScdIjy1uGkP51mIrmNDlBB07qp4te0vYHxOkrAaXDHi_RFCiEZQyui3g8wU0MaQUwap9dIOOsyJYXfWgSg_quofCPlmXTt0A_S25Hr4AT1eg3Ed7G_VoXLrlGrJleNMU7njhfjoP8_8dVdu-urGul4nSJ_z6N6Hjd8VL6EZ9eX-iTi_OCW8_X6h37C_C4rKa</recordid><startdate>200310</startdate><enddate>200310</enddate><creator>Gaitonde, Rajdeep S.</creator><creator>Sharma, Naveen</creator><creator>von der Lohe, Elisabeth</creator><creator>Kalaria, Vijay G.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200310</creationdate><title>Combined distal embolization protection and rheolytic thrombectomy to facilitate percutaneous revascularization of totally occluded saphenous vein grafts</title><author>Gaitonde, Rajdeep S. ; Sharma, Naveen ; von der Lohe, Elisabeth ; Kalaria, Vijay G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3899-e7fecab0736f74d65be79136332932c21f297a91b31d0f055c268f0f737a792b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>AngioJet distal embolization</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Balloon Occlusion</topic><topic>Biological and medical sciences</topic><topic>Combined Modality Therapy</topic><topic>Coronary Angiography</topic><topic>coronary angioplasty</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Disease - surgery</topic><topic>Diseases of the cardiovascular system</topic><topic>distal protection device</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Graft Occlusion, Vascular - diagnosis</topic><topic>Graft Occlusion, Vascular - etiology</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>PercuSurge</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Reoperation</topic><topic>rheolytic thrombectomy</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - transplantation</topic><topic>saphenous vein graft</topic><topic>stent</topic><topic>Thrombectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaitonde, Rajdeep S.</creatorcontrib><creatorcontrib>Sharma, Naveen</creatorcontrib><creatorcontrib>von der Lohe, Elisabeth</creatorcontrib><creatorcontrib>Kalaria, Vijay G.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaitonde, Rajdeep S.</au><au>Sharma, Naveen</au><au>von der Lohe, Elisabeth</au><au>Kalaria, Vijay G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined distal embolization protection and rheolytic thrombectomy to facilitate percutaneous revascularization of totally occluded saphenous vein grafts</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2003-10</date><risdate>2003</risdate><volume>60</volume><issue>2</issue><spage>212</spage><epage>217</epage><pages>212-217</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Totally occluded saphenous vein grafts are difficult to treat percutaneously with a higher likelihood of distal embolization and slow‐flow or no‐reflow during percutaneous interventions. The PercuSurge system, which utilizes a distal balloon occlusive device, has been shown to improve clinical outcomes during saphenous vein graft (SVG) interventions. This device may not be optimal in the setting of heavy thrombus or debris burden, a situation frequently encountered in totally occluded SVGs. Rheolytic thrombectomy facilitates percutaneous interventions by effectively removing intraluminal thrombus and debris but lacks distal embolization protection. We report our experience with the synergistic use of balloon‐based distal embolization protection (PercuSurge) and rheolytic thrombectomy (AngioJet) to optimize percutaneous revascularization of totally occluded SVGs. Catheter Cardiovasc Interv 2003;60:212–217. © 2003 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>14517927</pmid><doi>10.1002/ccd.10609</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged AngioJet distal embolization Angioplasty, Balloon, Coronary Balloon Occlusion Biological and medical sciences Combined Modality Therapy Coronary Angiography coronary angioplasty Coronary Artery Bypass Coronary Disease - surgery Diseases of the cardiovascular system distal protection device Equipment Design Female Graft Occlusion, Vascular - diagnosis Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - therapy Humans Male Medical sciences Middle Aged PercuSurge Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Reoperation rheolytic thrombectomy Saphenous Vein - diagnostic imaging Saphenous Vein - transplantation saphenous vein graft stent Thrombectomy |
| title | Combined distal embolization protection and rheolytic thrombectomy to facilitate percutaneous revascularization of totally occluded saphenous vein grafts |
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