Mechanical Thrombectomy Devices. Thomas M. Vesely, MD Vascular Access Services, LLC Saint Louis, Missouri
|
|
|
- Rosemary Bruce
- 6 years ago
- Views:
Transcription
1 Mechanical Thrombectomy Devices Thomas M. Vesely, MD Vascular Access Services, LLC Saint Louis, Missouri
2 No conflicts of interest relevant to thrombolysis / mechanical thrombectomy
3 Number and Type of Hemodialysis Thrombectomy Procedures by Year
4 Use of a 7 Fr. guiding catheter to aspirate thrombus guiding catheters have non-tapered tips for better aspiration of thrombus
5 7 Fr. introducer sheath tip of guiding catheter thrombus
6 Post-aspiration thrombectomy
7 Thrombus aspirated from hemodialysis graft
8 Thrombectomy Methods Popularity Cost Speed Effectiveness Aspiration Balloon Maceration Mechanical Devices Thrombolytics
9 Vascular access patency is determined by the identification and successful treatment of all significant stenoses, and not the method of thrombus removal. Thomas Vesely, MD
10 Are mechanical thrombectomy devices cost effective? Nope No clinical studies to answer this question
11 Mechanical Thrombectomy Devices Spinning Wires Percutaneous Thrombolytic Device (PTD) Cleaner XT (Prolumen) Solera XTD Spinning Brushes Castenada Brush Cragg Brush Acoustic Energy EkoSonic (Omnisonics) Supersonic Spinners Helix (ATD) Thrombex Aspirex S Exciser ThrombCat Hydrodynamic AngioJet Hydrolyser Oasis Suction EndoVac
12 PTD Thrombectomy Device inserted through 6 Fr sheath wire basket fragments and macerates thrombus
13 Mechanical Injury to Vein Comparison of the PTD to Embolectomy Balloon Lajvardi A et al. Cardiovasc Intervent Radiol 1995; 18: Percentage of Endothelial Denudation
14 Cleaner XT
15 Solera hand-held motor drive outer stationary basket aspiration port inner rotating macerator - Similar to PTD but only the inner basket spins (at 3000rpm) - Outer basket can be manually rotated
16 XTD ( Extract Device ) aspiration using 20cc syringe Battery powered motor spins a curved guidewire tip at 10,000-15,000 rpm Aspiration using attached syringe curved tip 10,000rpm
17 20cc syringe Aspirated thrombotic debris After maceration of the thrombus use a 20cc syringe to aspirate the thrombus via the sidearm of the vascular sheath
18 Needle damage to stent graft
19 Stent graft wrapped around on PTD basket
20 PTD entangled in fractured metal stent
21 Unraveled fractures stent from PTD thrombectomy device
22 Mechanical Thrombectomy Devices Supersonic Spinners Helix Thrombex Aspirex S ThrombCat Exciser
23 Helix (ATD) Super high speed (>100,000 rpm) pressurized (30 psi) air-driven impeller within catheter tip housing
24 20cc syringe Aspirated thrombotic debris After maceration of the thrombus use a 20cc syringe to aspirate the thrombus via the sidearm of the vascular sheath
25 AngioJet Solent Omni Solent Proxi AVX Multiple high pressure saline jets create vacuum at catheter tip To aspirate and remove thrombus
26 Hydrodynamic Thrombectomy Devices Fluid turbulence shears thrombus into fragments Some devices will aspirate thrombus fragments
27 Oasis and Hydrolyzer devices had similar systems
28 Intraprocedural Blood Loss Hemodialysis patients have low hematocrits (25-35%) Aspiration devices can remove large volumes of blood quickly Hemolysis
29 Maintain awareness of the procedure : Is progress being made? Patient fatigue Radiation exposure Blood loss
30
31 803 percutaneous thrombectomy procedures were performed on PTFE hemodialysis grafts between 1/1/93 and 9/1/00. This included the following types and numbers of procedures: Pulse-spray UK (240) Arrow-PTD (412) ATD (79) AngioJet (17) Oasis (15) Hydrolyser (10) Endovac (7) Lyse & Wait (7) Thrombex (6) Cragg brush (6) Castaneda brush (4)
32 12 minor complications requiring minimal treatment 18 major complications that altered the course of the procedure or treatment of the patient Ten (10) of these major complications were due to angioplasty-induced rupture of a vein One death resulting from a fall from the angiography table immediately following the procedure
33 Complications were reported to have occurred in 30 patients The complication rate was = 3.7% The type and number of complications included: Rupture of a vein during angioplasty (13) Severe respiratory distress (4) Arterial emboli (3) Rigors related to urokinase (3) Access site bleeding (2) Moderate hypoxia (2) Other complications (3)
34 Complication Rates Complication Other Reports Major bleeding % % % Venous rupture/dissection % 1.6 % Arterial emboli % 0.37 % Acute respiratory arrest % 0.50 % Contrast reaction % 0 Sepsis; infection % 0 Minor bleeding Vesely
35 Conclusions Long-term patency of access in not related to thrombectomy method Many different types of mechanical thrombectomy device - READ instructions for use document Mechanical thrombectomy devices are not cost effective but improve speed to thrombus removal Mechanical thrombectomy procedures have complication rates similar to other percutaneous thrombectomy methods Be mindful of blood loss and hemolysis
36
Methods of Thrombus Fragmentation & Extraction. Methods of Thrombus Extraction
Thrombus Fragmentation and Extraction: Clinical Evidence and Practical Application No Relevant Disclosures Venita Chandra, MD Clinical Assistant Professor of Surgery Division of Stanford Medical School,
The Art of Angioplasty
The Art of Angioplasty Achieving and Defining Success Thomas M. Vesely, MD Saint Louis, Missouri Dr. Vesely is a consultant for: W.L. Gore & Associates Lutonix Imaging the Vascular Access Circuit A well
Lysis-Assisted Balloon (LAB) Thrombectomy
Lysis-Assisted Balloon (LAB) Thrombectomy Panagiotis M. Kitrou MD, MSc, PhD, EBIR Consultant Interventional Radiologist Interventional Radiology Dpt. Patras University Hospital Greece Facts & Figures Thrombosis:
Percutaneous thrombolysis of thrombosed haemodialysis access grafts: comparison of three mechanical devices
Nephrol Dial Transplant (2002) 17: 467 473 Original Article Percutaneous thrombolysis of thrombosed haemodialysis access grafts: comparison of three mechanical devices Henk F. M. Smits 1, Johannes H. M.
The hallmark of percutaneous thrombus management
Treating Venous Thromboembolism Without Lytic Medications What the present and the near future will bring in terms of techniques and devices to remove venous thrombus. BY CONSTANTINO S. PEÑA, MD; RIPAL
Interventional Treatment VTE: Radiologic Approach
Interventional Treatment VTE: Radiologic Approach Hae Giu Lee, MD Professor, Dept of Radiology Seoul St. Mary s Hospital The Catholic University of Korea Introduction Incidence High incidence: 250,000-1,000,000/year
Outcomes Of Combined Rheolytic And Rotational Mechanical Thrombectomy For Total Access Circuit Thrombosis In Hemodialysis Patients
Outcomes Of Combined Rheolytic And Rotational Mechanical Thrombectomy For Total Access Circuit Thrombosis In Hemodialysis Patients Nicholas Petruzzi, MD Raphael Cohen, MD Mark Mantell, MD Timothy W. Clark,
The hallmark of percutaneous thrombus management
Treating Venous Thromboembolism Without Lytic Medications What the present and the near future will bring in terms of techniques and devices to remove venous thrombus. BY CONSTANTINO S. PEÑA, MD; RIPAL
1 Description. 2 Indications. 3 Warnings ASPIRATION CATHETER
Page 1 of 5 ASPIRATION CATHETER Carefully read all instructions prior to use, observe all warnings and precautions noted throughout these instructions. Failure to do so may result in complications. STERILE.
Directions For Use. All directions should be read before use
Directions For Use All directions should be read before use DEVICE DESCRIPTION: The CLEANER.XT Rotational Thrombectomy System is a percutaneous, 6Fr catheter based system (single piece construction) that
Pharmaco-mechanical techniques stand alone procedures? Peter Neglén, MD, PhD SP Vascular Center Limassol Cyprus
Pharmaco-mechanical techniques stand alone procedures? Peter Neglén, MD, PhD SP Vascular Center Limassol Cyprus Faculty Disclosure Peter Neglén, M.D., Ph.D Stockholder/Founder of Veniti, Inc. Member, Medical
Endovascular Declotting of Wall-Adherent Thrombi in Hemodialysis Vascular Access
Original Article Acta Cardiol Sin 2014;30:128 135 Peripheral Artery Disease Endovascular Declotting of Wall-Adherent Thrombi in Hemodialysis Vascular Access Chih-Wei Hung, 1 ** Chao-Lun Lai, 1,3 ** Mu-Yang
Technique de recanalisation: mon expérience avec Aspirex
JFICV 2017, Deauville Thrombose veineuse profonde aiguë en 2017 Technique de recanalisation: mon expérience avec Aspirex Romaric LOFFROY Département de Radiologie Diagnostique et Thérapeutique CHU Hôpital
Directions For Use. All directions should be read before use. Page 1 of 8
Directions For Use All directions should be read before use Page 1 of 8 WARNING: For single use only. Do not reuse, reprocess or re-sterilize. Reuse, reprocessing or re-sterilization may compromise the
Port Design. Page 1. Port Placement, Removal, and Management. Selecting a Vascular Access Device. Thomas M. Vesely, MD
Non-Dialysis Procedures Port Placement, Removal, and Management Thomas M. Vesely, MD Saint Louis, Missouri Selecting a Vascular Access Device Duration of use Number of lumens Frequency used Blood flow
ACUTE LIMB ISCHEMIA Table of Contents
ACUTE LIMB ISCHEMIA Table of Contents PERIPHERAL ARTERIAL DISEASE (PAD)... 1 INTERMITTENT CLAUDICATION (IC)... 1 CRITICAL LIMB ISCHEMIA (CLI)... 1 ACUTE LIMB ISCHEMIA (ALI)... 2 Risk Factors...2 Associated
ENHANCING YOUR OPTIONS
ANGIOJET ULTRA Thrombectomy System ENHANCING YOUR OPTIONS FOR RESTORING FLOW When you need the versatility and power to restore flow Refined from experience in over 700,000 cases worldwide, today s AngioJet
Percutaneous Mechanical Thrombectomy for Acute Iliofemoral DVT with the Aspirex Catheter: The Dijon Experience
JFICV 2018, Beaune Percutaneous Mechanical Thrombectomy for Acute Iliofemoral DVT with the Aspirex Catheter: The Dijon Experience Prof. Romaric LOFFROY, MD, PhD, FCIRSE Chief, Department of Vascular and
ASDIN 10th Annual Scientific Meeting Final
Cost Saving Techniques for Outpatient Vascular Access Centers ASDIN 2014 Annual Meeting Phoenix, AZ Jeffrey Hoggard MD FACP FASN Capital Nephrology Associates Raleigh, NC Conflicts of Interest Medical
Reducing Thrombotic Burden in Arterial Interventions. Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy
Reducing Thrombotic Burden in Arterial Interventions Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy Disclosure Speaker name: Mario Galli... I have the following potential
Mechanical thrombectomy in acute thrombosis of dialysis fistulas: a multi-center study
Mechanical thrombectomy in acute thrombosis of dialysis fistulas: a multi-center study Clément Marcelin 1 Y Le Bras 1, MD, F. Petitpierre 1, MD, N. Grenier 1, MD PHD, J V D Berg MD PHD 3, B Huasen 2, MD
Interventional Treatment for Complete Occlusion of Arteriovenous Shunt: Our Experience in 39 cases
Chin J Radiol 2003; 28: 137-142 137 Interventional Treatment for Complete Occlusion of Arteriovenous Shunt: Our Experience in 39 cases SHE-MENG CHENG SUK-PING NG FEI-SHIH YANG SHIN-LIN SHIH Department
Disclosure. Tunneled Catheters: How to Get Unstuck. ASDIN 10th Annual Scientific Meeting Final. Thomas Vesely, M.D.
Tunneled Catheters: How to Get Unstuck Thomas Vesely, M.D. Saint Louis, Missouri Disclosure Caymus Medical Cylerus, Inc. Phase One Medical W.L. Gore & Associates Definition : Stuck Catheter A tunneled
Expanding Horizons: AngioVac Suction Thrombectomy at UTHealth
Expanding Horizons: AngioVac Suction Thrombectomy at UTHealth Naveed Saqib, MD Assistant Professor Department of Cardiothoracic and Vascular Surgery McGovern Medical School The University of Texas Science
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of October 29, 2018 Mesenteric Arteriogram & Thrombectomy/Thrombolysis
PEARL Registry Update Overview Venous Arterial AV Access
PEARL Registry Update Overview Venous Arterial AV Access PEARL Registry Overview (as of 10 Sep12*) Overview Venous Arterial AV Access HOME Topic Data Support Comments Study Design Prospective, non-randomized,
Rescue procedures in acute visceral ischemia
Rescue procedures in acute visceral ischemia Yvonne Bausback Dept. Interventional Angiology Division of Internal Medicine, Neurology and Dermatology University of Leipzig, Germany Disclosure Speaker name:
NON-COMPLIANT PTCA RAPID EXCHANGE DILATATION CATHETER
Page 1 of 5 NON-COMPLIANT PTCA RAPID EXCHANGE DILATATION CATHETER STERILE. SINGLE USE ONLY. Sterilized with ethylene oxide gas. Non pyrogenic. Do not resterilize. Do not use opened or damaged packages.
NOTE: Deep Vein Thrombosis (DVT) Risk Factors
Deep Vein Thrombosis (DVT) Deep Vein Thrombosis (DVT) is the formation of a blood clot, known as a thrombus, in the deep leg vein. It is a very serious condition that can cause permanent damage to the
Percutaneously Inserted AngioVac Suction Thrombectomy for the Treatment of Filter-Related. Iliocaval Thrombosis
Percutaneously Inserted AngioVac Suction Thrombectomy for the Treatment of Filter-Related Iliocaval Thrombosis Faiz D. Francis, DO; Gianvito Salerno, MD; Sabbah D. Butty, MD Abstract In the setting of
Rotarex mechanical thrombectomythe first line option for thrombotic occlusions?
Rotarex mechanical thrombectomythe first line option for thrombotic occlusions? Dierk Scheinert, MD Division of Interventional Angiology University Hospital Leipzig, Germany Disclosure Advisory Board /Consultant:
ENDOVASCULAR THERAPIES FOR ACUTE STROKE
ENDOVASCULAR THERAPIES FOR ACUTE STROKE Cerebral Arteriogram Cerebral Anatomy Cerebral Anatomy Brain Imaging Acute Ischemic Stroke (AIS) Therapy Main goal is to restore blood flow and improve perfusion
THE CARE AND MAINTENANCE OF TOTALLY IMPLANTED VENOUS ACCESS DEVICES (PORTS)
Children s Hospital for Wales Department of Paediatric Respiratory Medicine and Cystic Fibrosis THE CARE AND MAINTENANCE OF TOTALLY IMPLANTED VENOUS ACCESS DEVICES (PORTS) This protocol applies to the
Straub Endovascular System &
Straub Endovascular System & S t r a u b E n d o v a s c u l a r To o l s Straub Endovascular System Effective debulking in occluded arteries and veins Effective debulking in many indications Rotarex
TEACHING CASE # 5. Reocclusion Of Transverse And Sigmoid Venous Sinuses Mechanical and Chemical Thrombectomy
TEACHING CASE # 5 Reocclusion Of Transverse And Sigmoid Venous Sinuses Mechanical and Chemical Thrombectomy CASE PRESENTATION 22M with right transverse and sigmoid venous sinuses occlusion s/p transvenous
What is New in Acute Pulmonary Embolism? Interventional Treatment. Prof. Nils Kucher University Hospital Bern Switzerland
What is New in Acute Pulmonary Embolism? Interventional Treatment Prof. Nils Kucher University Hospital Bern Switzerland nils.kucher@insel.ch Disclosure of Interest Dr. Kucher received research grants
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of June 4, 2018 Thrombolysis, Thrombectomy & Angioplasty
Aggressive endovascular management of ilio-femoral DVT. thrombotic syndrome. is the key in preventing post
CACVS 2017 Aggressive endovascular management of ilio-femoral DVT is the key in preventing post thrombotic syndrome ALI AMIN MD, FACS,FACC, RVT CHIEF OF ENDOVASCULAR INTERVENTIONS READING HEALTH SYSTEM
Mary Lou Garey MSN EMT-P MedFlight of Ohio
Mary Lou Garey MSN EMT-P MedFlight of Ohio Function Prolonged and frequent access to venous circulation Allows for patient to carry on normal life; decrease number of needle sticks Medications, parenteral
All arteriovenous access circuits, whether native vein
Summary of the Gore REVISE Clinical Study This nationwide study reports on the safety and effectiveness of the GORE VIHN Endoprosthesis for the treatment of stenoses and thrombotic occlusions involving
Optimal Utilization of Thrombolytics
April 8-9, 2011 New York LaGuardia Marriott COMPLETE MANAGEMENT OF VENOUS DISEASE Optimal Utilization of Thrombolytics Anthony J. Comerota, MD, FACS, FACC Director, Jobst Vascular Institute Adjunct Professor
Aspiration Mechanical Thrombectomy in AV fistula salvage
Aspiration Mechanical Thrombectomy in AV fistula salvage Dr Bella Huasen, MBCHB MRCS DipEd FRCR Vascular Interventional Radiology Royal Preston LTHTR U.K. Background It is believed that native AV Fistula
Stuck dialysis catheters. ANZSIN 2013 Michael Lam & Kendal Redmond
Stuck dialysis catheters ANZSIN 2013 Michael Lam & Kendal Redmond NT 39 yr old CI Maori - ESKD 2 o to cortical necrosis HD August 2002 R IJ tunneled Tesio catheter Oct 2002 Failed L RC AVF Feb 2004 Failed
WHO YOU GONNA CALL? CLOT-BUSTERS!
WHO YOU GONNA CALL? CLOT-BUSTERS! Jayer Chung MD, MSc Assistant Professor Division of Vascular Surgery and Endovascular Therapy Michael E DeBakey Department of Surgery Baylor College of Medicine Annual
AV ACESS COMPLICATIONS. Ass. Prof. Dr. Habas
AV ACESS COMPLICATIONS Ass. Prof. Dr. Habas COMPLICATION AVF IS CONSIDERED A MINOR PROCEDURE INCIDENCE OF COMPLICATION- 20-27% MANY A COMPLICATION LEADS TO FAILURE OF FISTULA LOSS OF SITE AND VEIN FOR
Bare Metal Stents vs Stent Grafts
Bare Metal Stents vs Stent Grafts ASDIN 12th Annual Scientific Meeting Phoenix, AZ, February 20, 2016 Dirk Hentschel, MD Director, Interventional Nephrology Brigham and Women s Hospital Disclosure Consultant:
RECOMMENDED INSTRUCTIONS FOR USE
Rapid Exchange PTCA Dilatation Catheter RECOMMENDED INSTRUCTIONS FOR USE Available in diameters 1.25mm to 4.5mm and in lengths 09mm to 40mm Caution: This device should be used only by physicians trained
Angioplasty remains the most common method
When AVF Angioplasty Fails Defining procedural success and overcoming common problems. By Thomas M. Vesely, MD Angioplasty remains the most common method of treating obstructive vascular stenoses associated
Catheters and Wires. Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon
Catheters and Wires Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon Guidewires: Guidewires (solid wires navigated within the vascular system / extravascular tract) act
Rheolytic thrombectomy with AngioJet System for treatment of acute pulmonary embolism(pe)
Rheolytic thrombectomy with AngioJet System for treatment of acute pulmonary embolism(pe) Dr. Shuiting Zhai Vascular and Endovascular Surgery Henan Provincial People's Hospital Zhengzhou P.R.C Disclosure
Successful recanalisation of venous thrombotic occlusions with Aspirex mechanical thrombectomy. Michael K. W. Lichtenberg
Successful recanalisation of venous thrombotic occlusions with Aspirex mechanical thrombectomy Michael K. W. Lichtenberg Disclosure Speaker name: Michael Lichtenberg... I have the following potential conflicts
Surgical Options in Thrombectomy for Non-Surgeons
Surgical Options in Thrombectomy for Non-Surgeons Shouwen Wang, MD, PhD, FASDIN AKDHC Ambulatory Surgery Center Arizona Kidney Disease and Hypertension Center Phoenix, Arizona Disclosure No relevant financial
Venous Thrombosis. Magnitude of the Problem. DVT 2 Million PE 600,000. Death 60,000. Estimated Cost of VTE Care $1.5 Billion/year.
Venous Thrombosis Magnitude of the Problem DVT 2 Million Postthrombotic Syndrome 800,000 PE 600,000 Death 60,000 Silent PE 1 Million Pulmonary Hypertension 30,000 Estimated Cost of VTE Care $1.5 Billion/year
Resident Teaching Conference 3/12/2010
Resident Teaching Conference 3/12/2010 Goals Definition and Classification of Acute Limb Ischemia Clinical Assessment of the Vascular Patient History and Physical Diagnostic Modalities Management of Acute
Acoustic Pulse Thrombolysis Treatment
Acoustic Pulse Thrombolysis Treatment BTGVascular.com SETTING THE STANDARD FOR VASCULAR THERAPIES Quickly & safely dissolve thrombus with the EKOS System. The Acoustic Pulse Difference Acoustic Pulse Thrombolysis
Ultrasound-assisted catheter-directed thrombolysis: Does it really work? The BERNUTIFUL trial
Ultrasound-assisted catheter-directed thrombolysis: Does it really work? The BERNUTIFUL trial Rolf P. Engelberger Division of Angiology CHUV, Lausanne & Inselspital, Bern Switzerland Disclosure Speaker
Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)
Dialysis Vascular Access Coverage, Coding and Reimbursement Overview Hospital Outpatient 2019 Edition All Reimbursement Amounts are Listed at ational Unadjusted Medicare Rates and Do ot Include the 2%
Aspirex for Upper and Lower Extremity DVT
Aspirex for Upper and Lower Extremity DVT Steven Kum MD Vascular & Endovascular Surgeon Director of Vascular Service Changi General Hospital Singapore Disclosure Speaker name:... I have the following potential
Catheter-Directed Thrombolysis for Acute Limb Ischemia. Hwan Jun Jae MD Seoul National University Hospital Seoul, Korea
Catheter-Directed Thrombolysis for Acute Limb Ischemia Hwan Jun Jae MD Seoul National University Hospital Seoul, Korea Disclosure Speaker name: Hwan Jun Jae... I have the following potential conflicts
Management of Acute DVT Extending From the Tibial Veins to the Common Iliac Vein Using the AngioJet Thrombectomy System
FEATURED TECHNOLOGY: ANGIOJET THROMBECTOMY SYSTEM Sponsored by Boston Scientific Corporation Management of Acute DVT Extending From the Tibial Veins to the Common Iliac Vein Using the AngioJet Thrombectomy
Surgical approach for DVT. Division of Vascular Surgery Department of Surgery Seoul National University College of Medicine
Surgical approach for DVT Seung-Kee Min Division of Vascular Surgery Department of Surgery Seoul National University College of Medicine Treatment Options for Venous Thrombosis Unfractionated heparin &
MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES
MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES PUSHING BOUNDARIES Terumo Interventional Systems is committed to your success with innovative procedural solutions and ongoing support for your most challenging
The HeRO Graft. Shawn M. Gage, PA Division of Vascular Surgery Duke University Medical Center
The HeRO Graft Shawn M. Gage, PA Division of Vascular Surgery Duke University Medical Center Faculty Disclosure I disclose the following financial relationships: CryoLife/Hemosphere, Inc. & W.L. Gore and
Interventional Management of Acute Pulmonary Embolism
Interventional Management of Acute Pulmonary Embolism Prof. Nils Kucher Angiology & Cardiology University Hospital Bern Inselspital nils.kucher@insel.ch DECLARATION OF CONFLICT OF INTEREST Consultant to
Massive Pulmonary Embolism: Percutaneous Mechanical Thrombectomy during Cardiopulmonary Resuscitation
Massive Pulmonary Embolism: Percutaneous Mechanical Thrombectomy during Cardiopulmonary Resuscitation Mario Fava, MD, Soledad Loyola, MD, Hernán Bertoni, MD, and Alberto Dougnac, MD Seven patients with
Mechanical thrombectomy in peripheral interventions: A multitask and effective tool in a widening scenario. Current evidence and technical tips.
Mechanical thrombectomy in peripheral interventions: A multitask and effective tool in a widening scenario. Current evidence and technical tips. Dr. Bruno Freitas, Prof., MD Department of Interventional
Treatment of Axillosubclavian Vein Thrombosis: A Novel Technique for Rapid Removal of Clot Using Low-Dose Thrombolysis
J ENDOVASC THER 733 RAPID COMMUNICATION Treatment of Axillosubclavian Vein Thrombosis: A Novel Technique for Rapid Removal of Clot Using Low-Dose Thrombolysis Frank R. Arko, MD; Paul Cipriano, MD; Eugene
PEARL REGISTRY Post Market Registry
PEARL REGISTRY Post Market Registry Real World Use of the AngioJet Thrombectomy System in the Peripheral Vascular System PI-315422-AA JUN2015 Objectives AngioJet Action Enrollment General Indications &
ANGIOJET Ultra Thrombectomy System
ANGIOJET Ultra Thrombectomy System enhancing your options for restoring flow When you need the versatility and power to restore flow Refined from experience in over 700,000 cases worldwide, today s AngioJet
Case #1. Case #1- Possible codes. Unraveling the -59 modifier. Principles of Interventional. CASE 1: Simple angioplasty
Unraveling the -59 modifier Principles of Interventional Coding Donald Schon, MD, FACP Debra Lawson, CPC, PCS Distinct or independent from other services performed on the same day Normally not reported
THERE IS NO ROLE FOR SURGICAL THERAPY FOR DVT
THERE IS NO ROLE FOR SURGICAL THERAPY FOR DVT Tara D. Balint, MD FACS Sentara RMH Thursday, June 14, 2018 1 Objectives of treatment for DVT Prevent death from PE Prevent recurrent VTE Prevent post-thrombotic
Guidelines for Arteriovenous Access Intervention, Management and Abandonment, and for Removal of Pre- Study Dialysis Catheter
Guidelines for Arteriovenous Access Intervention, Management and Abandonment, and for Removal of Pre- Study Dialysis Catheter The guidelines for arteriovenous access intervention, management and abandonment,
CLARIVEIN INFUSION CATHETER
CLARIVEIN INFUSION CATHETER General Product Description Overview The ClariVein Infusion Catheter (ClariVein -IC) is an infusion catheter system designed to introduce physician-specified medicaments into
Thrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP)
Kasr El Aini Journal of Surgery VOL., 11, NO 3 September 2010 31 Thrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP) Farghaly A,
We Catch. What Others Miss
We Catch What Others Miss GORE Embolic Filter Diamond Frame Circumferential Filter Attachment eptfe Filter Media with 100-Micron Pores and Hydrophilic Heparin Coating Diamond Frame designed to enhance
Zenith Alpha T HORACIC ENDOVASCULAR GRAFT
Deployment Sequence Zenith Alpha T HORACIC ENDOVASCULAR GRAFT www.cookmedical.com AI-D21183-EN-F Preparation and flush Proximal and distal components Remove the yellow hubbed inner stylet from the dilator
PTA Balloon Dilatation Catheter
PTA Balloon Dilatation Catheter March 2016 1/6(3214-0) Catalogue number Serial number Lot number Use by Do not reuse Do not resterilize Do not use if package is damaged Consult instructions for use Keep
William A. Gray MD System Chief of Cardiovascular Services, Main Line Health President, Lankenau Heart Institute Wynnewood, PA USA
William A. Gray MD System Chief of Cardiovascular Services, President, Wynnewood, PA USA Why atherectomy? Calcification is the norm not the exception Most trials do not include heavy calcification There
Peel-Apart Percutaneous Introducer Kits for
Bard Access Systems Peel-Apart Percutaneous Introducer Kits for Table of Contents Contents Page Bard Implanted Ports Hickman*, Leonard*, Broviac*, Tenckhoff*, and Groshong* Catheters Introduction....................................
Peripheral Intravascular Lithotripsy (IVL) Catheter Instructions for Use (IFU)
Peripheral Intravascular Lithotripsy (IVL) Catheter Instructions for Use (IFU) For use with the Shockwave Medical, Inc. IVL Generator and Connector Cable Indication for Use The Shockwave Medical IVL System
How do I use mechanical debulking for the treatment of arterial occlusions
How do I use mechanical debulking for the treatment of arterial occlusions Sven Bräunlich, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich
Surgical Privileges Form: Vascular Surgery
Surgical Form: Vascular Surgery Clinical Request Applicant s Name:. License No. (If Any):... Date:... Scope of Practice:. Facility:.. Place of Work:. CATEGORY I: GENERAL PRIVILEGES 1. Admitting privileges
Venous interventions in DVT
Venous interventions in DVT Sriram Narayanan Chief of Vascular and Endovascular Surgery, Tan Tock Seng Hospital A/Prof of Surgery, National University of Singapore ANTI-COAGULATION LMWH Warfarin x 6m Acute
Device Evolution. Atherectomy: Where Do We Stand After 12 Years Since FDA Clearance. Where Do We Stand? 4/18/2015
Disclosure Statement of Financial Interest Atherectomy: Where Do We Stand After 12 Years Since FDA Clearance Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement
Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic device
CASE REPORT pissn 1225-7737/eISSN 2234-8042 Yeungnam Univ J Med 2014;31(1):28-32 http://dx.doi.org/10.12701/yujm.2014.31.1.28 Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic
Coronary angiography and PCI
Coronary arteries Coronary angiography and PCI Samo Granda, Franjo Naji Department of Cardiology Clinical department of internal medicine University clinical centre Maribor Coronary arteries Atherosclerosis
Catheter Tip Design. Disclosure. In Vitro Performance of Long-Term Hemodialysis Catheters. ASDIN 10th Annual Scientific Meeting Final
In Vitro Performance of Long-Term Catheters Disclosure for Thomas Vesely, MD Thomas M. Vesely, MD Saint Louis, Missouri Adrian Ravenscroft Phase One Medical Hingham, Massachusetts Phase One Medical Consultant
Innovative Endovascular Approach to Pulmonary Embolism by Ultrasound Enhanced Thrombolysis. Prof. Ralf R.Kolvenbach MD,PhD,FEBVS
Innovative Endovascular Approach to Pulmonary Embolism by Ultrasound Enhanced Thrombolysis Prof. Ralf R.Kolvenbach MD,PhD,FEBVS Catheter-based thrombolysis Local administration of lytic agent Higher local
2013 Coding Changes. Diagnostic Radiology. Nuclear Medicine
2013 Coding Changes The principal coding changes affecting Radiologists in 2013 occur in the Interventional Radiology Section of the AMA/CPT Manual. As in the past, we continue to see the Relative Update
Disclosures. Tips and Tricks for Tibial Intervention. Tibial intervention overview
Tips and Tricks for Tibial Intervention Donald L. Jacobs, MD C Rollins Hanlon Endowed Professor and Chair Chair of Surgery Saint Louis University SSM-STL Saint Louis University Hospital Disclosures Abbott
INTERVENTIONAL RADIOLOGY
INTERVENTIONAL RADIOLOGY Nagy Endre UNIVERSITY of SZEGED DEPARTMENT of RADIOLOGY Percutaneous catheter-technique was developd by Sven-Ivar Seldinger in 1953 Interventional procedures intravascular extravascular
For Personal Use. Copyright HMP 2013
Original New Technique Contribution A Novel Application of GuideLiner Catheter for Thrombectomy in Acute Myocardial Infarction: A Case Series Adam T. Stys, MD, Tomasz P. Stys, MD, Naveen Rajpurohit, MD,
Challenging Case of Pulse Infusion Thrombolysis Using a Unique Pump System for a Patient With Deep Vein Thrombosis: A Case Report
J Cardiol 2002 Feb; 39 2 : 115 119 Challenging Case of Pulse Infusion Thrombolysis Using a Unique Pump System for a Patient With Deep Vein Thrombosis: A Case Report MD Seiji Taro Katsuo Yasushi Fumiyuki
CONVENTIONAL ADULT CANNULAE
CONVENTIONAL ADULT CANNULAE Cannulae that can Comprehensive portfolio of aortic, venous and cardioplegia cannulae, vents, suction wands and sumps CONVENTIONAL ADULT CANNULAE Conventional Adult Cannulae
Instructions for Use Cordis PRECISE PRO Rx Nitinol Stent System
100000017144.3 100000017144.3 Instructions for Use Cordis PRECISE PRO Rx Nitinol Stent System Figure 1.065" (1.65 mm) OR.078" (1.98 mm) 16 4 13 10 11 15 8 3 14.062" (1.57 mm) OR.065" (1.65 mm).038" (0.97
Rotarex mechanical debulking: The Leipzig experience in patients
Rotarex mechanical debulking: The Leipzig experience in 1.200+ patients Dierk Scheinert, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Dierk Scheinert
Access Preservation: Recurrent Central Venous Stenosis, Pacemaker Wires and other Nightmares. Who am I? Disclosures
Access Preservation: Recurrent Central Venous Stenosis, Pacemaker Wires and other Nightmares Jason Burgess, MD RVT Surgical Specialists of Charlotte CMC-Mercy Charlotte, NC Disclosures Gore Vascular- Consultant
Mechanical Thrombectomy systems: The cost effective way to manage clot? Dr Stephen D SOUZA Dr Bella Huasen Interventional Radiology Royal Preston.
Mechanical Thrombectomy systems: The cost effective way to manage clot? Dr Stephen D SOUZA Dr Bella Huasen Interventional Radiology Royal Preston. UK Disclosure Speaker name: Stephen D Souza I have the
NYU School of Medicine Department of Radiology Rotation-Specific House Staff Evaluation
Vascular & Interventional Radiology Rotation 1 Core competency in vascular and interventional radiology during the first resident rotation consists of clinical objectives, technical objectives and image
HeRO. Jeffrey H. Lawson, M.D., Ph.D. Departments of Surgery and Pathology Duke University Medical Center Durham, North Carolina
HeRO Jeffrey H. Lawson, M.D., Ph.D. Departments of Surgery and Pathology Duke University Medical Center Durham, North Carolina Disclosures Consulting, Clinical Trials and Opinion Hemosphere Ark Therapeutics