Pandya Yash K, Tzeng Edith
Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh.
the School of Medicine, University of Pittsburgh, Pittsburgh.
JVS Vasc Insights. 2024;2. doi: 10.1016/j.jvsvi.2024.100053. Epub 2024 Jan 11.
The aim of this study was to review the most commonly used percutaneous mechanical thrombectomy devices for the treatment of pulmonary embolism today.
A thorough search of the existing literature was conducted on commonly used percutaneous mechanical thrombectomy devices, most notably Inari Flowtriever, Penumbra's Indigo Aspiration, and Alphavac. Reported qualitative and quantitative information was abstracted and descriptively reviewed to ascertain the clinical utility and effectiveness of these devices.
Inari Flowtriever is one of the most frequently utilized thrombectomy devices with the most substantive industry-sponsored trial data. Penumbra's Indigo Aspiration is one of the up-and-coming devices that presents certain caveats in addition to the commonly utilized features of a percutaneous mechanical thrombectomy device, making it a viable alternative. Other newer devices such as Alphavac still lack substantial data, with some other lesser-known devices sporadically used and showing limited, primarily anecdotal evidence.
Each device has its positives and negatives. Data are growing on the clinical utility of these devices as their use is becoming more common. However, the long-term durability and overall cost-effectiveness remains to be determined. (JVS-Vascular Insights 2024;2:100053.).
本研究旨在回顾当今治疗肺栓塞最常用的经皮机械血栓清除装置。
对常用的经皮机械血栓清除装置，尤其是Inari Flowtriever、Penumbra的Indigo Aspiration和Alphavac，进行了全面的现有文献检索。提取报告的定性和定量信息并进行描述性综述，以确定这些装置的临床实用性和有效性。
Inari Flowtriever是使用最频繁的血栓清除装置之一，有最丰富的行业资助试验数据。Penumbra的Indigo Aspiration是一种新兴装置，除了经皮机械血栓清除装置的常用功能外，还存在某些注意事项，使其成为一种可行的替代方案。其他较新的装置，如Alphavac，仍然缺乏大量数据，一些其他不太知名的装置偶尔使用，显示出有限的、主要是轶事性的证据。
每种装置都有其优缺点。随着这些装置的使用越来越普遍，关于它们临床实用性的数据也在增加。然而，长期耐用性和总体成本效益仍有待确定。（《血管外科杂志-血管洞察》2024年；2：100053。）
