Liu Jinbo, Li Tianrun, Huang Wei, Zhao Na, Liu Huan, Zhao Hongwei, Wang Hongyu
1 Department of Vascular Medicine, Peking University Shougang Hospital, Beijing 100144, P. R. China.
2 Department of Interventional vascular surgery, Peking University Third Hospital, Beijing, P. R. China.
Vascular. 2019 Apr;27(2):199-203. doi: 10.1177/1708538118813239. Epub 2018 Nov 20.
The aim of this retrospective single-center study was to analyze the immediate results, failures and complications of percutaneous mechanical thrombectomy using the Rotarex catheter in the treatment of peripheral artery occlusion.
In this study, we identified a total of 42 patients who underwent mechanical thrombectomy using Rotarex catheter at our institution. Procedural outcomes and complications were evaluated.
The cohort consisted of 42 patients (31 men and 11 women), aged 32-93 years (median 68 years). The number of external iliac artery occlusion was 5, with common femoral artery 5, superficial femoral artery 28, femoral profound artery 2, popliteal artery 12, and brachial artery 2. The causes of occlusion were thrombosis (29 cases, 69%), embolism (6 cases, 14%), and reocclusion after percutaneous intervention (7 cases, 17%). We achieved primary success in 100% of the patients with mechanical thrombectomy, associated with balloon angioplasty (40/42, 95.2%) and stent deployment (16/42, 38.1%). The median time of the interventional procedure was 145 min. We encountered lower percentage of distal embolization (2.4%) and artery dissection (2.4%) during usage of Rotarex catheter in our cohort.
Rotarex thrombectomy was a useful tool to recanalize occluded vessels with additional treatment such as balloon angioplasty or stent deployment, with a low rate of failures and complications. And prospective studies in this issue are recommended.
本回顾性单中心研究旨在分析使用Rotarex导管进行经皮机械血栓切除术治疗外周动脉闭塞的即刻疗效、失败情况及并发症。
在本研究中，我们确定了在我院接受使用Rotarex导管进行机械血栓切除术的42例患者。评估手术结果及并发症。
该队列包括42例患者（31例男性和11例女性），年龄32 - 93岁（中位数68岁）。髂外动脉闭塞5例，股总动脉闭塞5例，股浅动脉闭塞28例，股深动脉闭塞2例，腘动脉闭塞12例，肱动脉闭塞2例。闭塞原因包括血栓形成（29例，69%）、栓塞（6例，14%）以及经皮介入后再闭塞（7例，17%）。所有接受机械血栓切除术的患者均取得了初步成功，其中联合球囊血管成形术的有40/42例（95.2%），联合支架置入术的有16/42例（38.1%）。介入手术的中位时间为145分钟。在我们的队列中，使用Rotarex导管期间远端栓塞（2.4%）和动脉夹层（2.4%）的发生率较低。
Rotarex血栓切除术是一种有用的工具，可通过球囊血管成形术或支架置入术等额外治疗使闭塞血管再通，失败率和并发症发生率较低。建议对此问题进行前瞻性研究。
