Lichtenberg Michael, Kaeunicke Matthias, Lukat Michael, Hailer Birgit
Cardiovascular Clinic, Philippusstift Essen, Katholische Kliniken Essen-Nord-West gGmbH, Essen, Germany.
Vasc Health Risk Manag. 2011;7:623-7. doi: 10.2147/VHRM.S24360. Epub 2011 Sep 30.
The Rotarex catheter system is an effective tool for endovascular therapy of acute occluded arteries of the lower extremities, especially for the femoral artery. The authors report the use of the Rotarex catheter system for retrograde percutaneous thrombectomy of an occluded subclavian artery.
A 79-year-old male patient was referred because of acute pain and paleness of his left arm. Ultrasound examination and computed tomography angiography proved an occlusion of the left subclavian artery from the origin of the vessel. A retrograde recanalization was attempted using the 6F Rotarex catheter and combined with initiation of a local low-dose lytic therapy. A normal blood flow to the left arm was restored. Follow-up examination 3 months later showed a normal perfusion situation of the left upper extremity.
The Rotarex catheter system is an effective tool for endovascular therapy of acute occluded arteries and efficacy is not restricted to the lower extremities.
Rotarex导管系统是下肢急性闭塞动脉血管内治疗的有效工具，尤其是用于股动脉。作者报告了Rotarex导管系统用于逆行经皮血栓切除术治疗锁骨下动脉闭塞的情况。
一名79岁男性患者因左臂急性疼痛和苍白前来就诊。超声检查和计算机断层血管造影证实左锁骨下动脉自起始处闭塞。尝试使用6F Rotarex导管进行逆行再通，并联合启动局部低剂量溶栓治疗。左臂恢复了正常血流。3个月后的随访检查显示左上肢灌注情况正常。
Rotarex导管系统是急性闭塞动脉血管内治疗的有效工具，其疗效并不局限于下肢。
