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 S 10F Rotarex S 8F One device for acute, subacute and chronic arterial occlucions Native vessels Dialysis access Stents (In-stent reocclusion) Native and artificial bypasses Up to 1 cm/sec Four functions in one device Detachment of the occlusive material from the vessel (up to 1 cm/sec) Aspiration of detached material into the catheter head Fragmentation of the aspirated material Transportation out of the patient`s body
Case report Dr. Sven Bräunlich, Diakoniekrankenhaus, Halle, Germany Treatment of femoral artery and In-stent occlusion using the Straub Endovascular System. A 49 year old male presented with short distance claudication in the left leg (PAOD IIb). The initial angiogram revealed an occlusion in the left SFA, starting below the branch of the profound femoral artery and extending into the proximal popliteal artery. A stent in the distal segment of the SFA was occluded as well. Right side femoral approach was chosen, with a contralateral approach to the occlusion. Figure 1: Pre-procedure angiogram showing an occlusion of the SFA with further ISR in the distal segment. Figure 2: Debulking of the occlusion and the ISR with Rotarex S 8F 1 10cm. Figure 3: Result after Rotarex S Mechnical Debulking Figure 4: Final result after DEB Figure 5: Run-off
Efficient thrombectomy / embolectomy in many indications Aspirex S 10F Aspirex S 8F Aspirex S 6F Acute occlusions of Veins Arteries Dialysis access Three functions in one device Strong & continuous aspiration Aspiration of fresh thrombus and emboli Fragmentation of aspirated material Transportation out of the patient`s body
Case report Dr. Michael Lichtenberg, Angiology Department, Klinikum Arnsberg Recanalization of an acute ileofemoral deep vein thrombosis using the Aspirex S 10F system 4 1-year-old female, acute painful swelling of the left lower limb for two days. CT venography shows a descending thrombus from distal inferior caval vein to the distal external iliac vein (Figure 1). Intervention Access was gained through an antegrade puncture of the femoral vein under ultrasound guidance. A 10F sheath was placed. 5000 units of heparin were administered. The first angiogram proved the complete thrombotic occlusion of the left iliac vein system (Figure 2). Then the external and common iliac vein was passed with an angled 5F catheter over a stiff hydrophilic guide wire. The guide wire was then exchanged to a 0.025 guide wire provided for performing mechanical thrombectomy with the 10F Aspirex S system. After 3 runs with the Aspirex S system a quite effective outflow of the iliac vein (Figure 3) could be demonstrated. After this efficient thrombectomy a high grade stenosis of the left proximal Vena iliaca communis was obvious at the typical May-Thurner point. In the next step predilatation of this region was performed with a 1 4 x 60 mm balloon followed by stent implantation with a 16 x 120 mm venous stent. Post-dilatation a final angiogram showed optimal deployment and apposition of the stent (Figure 4). Post-interventional the patient was under vitamin K antagonist anticoagulation treatment for at least 6 months. A 3 month follow-up examination showed still a patent outflow situation on the left leg and significant improvement of complaints. The stented segments were patent without signs of luminal narrowing on duplex. Summary and critical evaluation The specific advantage of the Aspirex S mechanical thrombectomy is the lesser use of thrombolytic drug for effective thrombectomy. Ultimately, it is possible in individual cases to even completely dispense with local thrombolytic treatment and so avoiding ICU stay for prolonged local lysis delivery taking the patient to bleeding risk and increases perinterventional cost situation. Figure 1 Figure 3 Figure 2 Figure 4
DRIVE SYSTEM Safe and easy operation One system for all Rotarex S and Aspirex S catheters Easy set up Hand or footswitch operated Magnetic coupling to catheter Robust and safe
Straub Endovascular Tools The companions for your daily work
CAPTUREX Your safety net for venous interventions Peri-interventional Filter Catheter Pulmonary Embolism Protection (PEP) Self-expandable Nitinol Basket Immediate retrieval
GUIDEWIRE The wire for every day Core material nitinol extra lubricious coating Flexible tip gold-plated tungsten Shape angled, good crossing properties Hydrophilic coating distal end
Distributed by Rotarex S Aspirex S REF Catheter Sets Size Length REF Catheter Sets Size Length number number REF 8021 9 SET Rotarex S 6F 1 1 0 cm REF 80226 SET Aspirex S 6F 1 1 0 cm REF 80202 SET Rotarex S 6F 135 cm REF 80227 SET Aspirex S 6F 135 cm REF 80223 SET Rotarex S 8F 85 cm REF 80229 SET Aspirex S 8F 85 cm REF 80224 SET Rotarex S 8F 1 1 0 cm REF 80230 SET Aspirex S 8F 1 1 0 cm REF 80277 SET Rotarex S 10F 85 cm REF 80232 SET Aspirex S 10F 1 1 0 cm SET includes catheter, guidewire, sterile drape and collecting bag Capturex REF 80275 Capturex SET SET includes filter catheter and delivery sheath Drive System REF 80300 / REF SRS-Set Drive System Guidewire REF Dimension Length Tip Flex Hydrophilic Packaging number configuration Tip coating REF 80270 Guidewire 0.018 220 cm angled 40 mm 9.5 cm Pack of 5 REF 8027 1 Guidewire 0.018 270 cm angled 40 mm 9.5 cm Pack of 5 REF 80272 Guidewire 0.018 320 cm angled 40 mm 9.5 cm Pack of 5 REF 80304 Guidewire 0.025 220 cm angled 60 mm 8.5 cm Pack of 5 REF 80305 Guidewire 0.025 270 cm angled 60 mm 8.5 cm Pack of 5 Products not available in all markets. Rotarex, Aspirex, Capturex and Straub are registered trademarks of Straub Medical AG. Copyright Straub Medical AG. All rights reserved. Straub Medical AG Straubstrasse 12 CH-7323 Wangs Switzerland Phone: 41 8 1 720 04 60 Fax: 41 8 1 720 04 6 1 E-Mail: info@straubmedical.com Internet: www.straubmedical.com ZE10662 A6 EN