Evidence map›Paper›PMID 37042145›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2023

[Application of Rotarex catheter system in femoropopliteal artery stenosis accompanied with thrombosis].

J M Zhuang, T R Li, X Li, J Y Luan, C M Wang, Q C Feng, J T Han

Open access · greenAbstract readEnglish Abstract
PubMed Full text at PMC
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Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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0 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

J M ZhuangDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
T R LiDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
X LiDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
J Y LuanDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
C M WangDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
Q C FengDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
J T HanDepartment of Intervention Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
Peking University Third Hospital · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness and safety of Rotarex catheter system in treating femoropopliteal artery stenosis accompanied with thrombosis.

methodsFrom Jun. 2017 to Dec. 2019, the clinical data of 32 femoropopliteal artery stenosis accompanied with thrombosis cases treated with Rotarex catheter system were retrospectively analyzed. There were 23 males and 9 females aged from 50 to 89 years and the mean age was (70.7±10.3) years. Six cases had acute course of disease (≤2 weeks), 17 cases had subacute course of disease (>2 weeks, ≤3 months), and 9 cases had chronic course of disease (>3 months). Mean lesion length was (23.4±13.7) cm, mean occlusion length was (19.9±13.3) cm, and in-stent occlusion 7 cases. The superficial femoral artery (SFA) was involved in 13 cases, the popliteal artery (PA) was involved in 8 cases, and both SFA and PA were involved in the other 11 cases. All the cases were treated with Rotarex catheter system. When necessary, suction with large lumen catheter was enabled. Residual stenosis was treated with percutaneous transluminal angioplasty (PTA). Drug-coated balloon (DCB) was only used in patients with financial status, and stent was used only when it was necessary. Heparin was used for 24 h after procedures, and after that, antiplatelet agents were used. Doppler ultrasonography was taken during the followed-up.

resultsTechnical success was 100%, and mean procedure time was (107.4±21.5) min. 8F (1F≈0.33 mm) and 6F Rotarex catheter were used in 27 and 5 cases respectively. In 27 cases, forward flow was obtained immediately after debulking with Rotarex catheter, and in the other 5 cases, suction with large lumen catheters were used. PTA was used in all 32 cases. DCB were used in 8 cases, of which 4 were used in in-stent stenosis. Twelve cases were implanted stents. There were no perioperative deaths. The only one procedure related complication was distal embolism. We took out the thrombus with guiding catheter. In all cases, mean hospital stay were (4.6±1.5) d. The ankle brachial index increased from 0.32±0.15 to 0.86±0.10 after treatment (

conclusionIn treating femoropopliteal artery stenosis accompanied with thrombosis, Rotarex catheter can remove thrombus effectively, and that can expose underlying lesions and reduce stent use and complications rates. It is a safe and effective method.

Indexed as

Femoral ArteryThrombosisAgedAged, 80 and overCathetersConstriction, PathologicFemaleHumansMaleMiddle AgedPlatelet Aggregation InhibitorsRetrospective StudiesTreatment OutcomePlatelet Aggregation InhibitorsArteriosclerosis obliteransFemoropopliteal arteryThrombectomyThrombosis

Identifiers

PMID37042145
PMCPMC10091259
OpenAlexW4365135482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.