A hybrid in-line aspiration technique using a coronary aspiration catheter directly connected to a mechanical thrombectomy pump for acute limb ischemia.

Yosuke Takei, Katsunori Ishii, Akihito Yamanouchi, Hiroshi Kawasumi, Motoki Kure, Yuka Tanizaki

Abstract read

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Article in Journal of vascular surgery cases and innovative techniques, 2026. 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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Authors and funding

6 authors.

Yosuke TakeiDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Katsunori IshiiDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Akihito YamanouchiDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Hiroshi KawasumiDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Motoki KureDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Yuka TanizakiDivision of Cardiology, Department of Internal Medicine, Showa Medical University Fujigaoka Hospital, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute limb ischemia requires rapid thrombus removal to restore perfusion and prevent limb loss. Although mechanical aspiration thrombectomy systems enable effective clot debulking, residual thrombus may persist in below-the-knee vessels that are less accessible to large-bore catheters. We describe a reproducible hybrid in-line aspiration technique in which a coronary aspiration catheter is connected directly to a mechanical thrombectomy pump, allowing continuous aspiration in the distal arteries. In an illustrative case of popliteal and tibial thromboembolism, this configuration facilitated effective thrombus extraction and complete revascularization. This simple off-label setup may expand endovascular options for complex acute limb ischemia.

Indexed as

Acute limb ischemiaAspiration thrombectomyEndovascular proceduresMechanical thrombectomyPeripheral arterial disease

Identifiers

PMID42255377

DOI10.1016/j.jvscit.2026.102272

PMCPMC13234600

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LicenceCC BY-NC-ND

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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.