J Korean Soc Radiol.  2021 Mar;82(2):447-454. 10.3348/jksr.2019.0161.

Thrombectomy of Femoro-Femoral Bypass Graft Occlusion Using the AngioJet Rheolytic Thrombectomy System and Embolic Protection Device: A Case Report

Affiliations
  • 1Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon, Korea.
  • 2Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Hanyang University Guri Hospital, Guri, Korea.
  • 4Department of Thoracic & Cardiovascular Surgery, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon, Korea.

Abstract

The authors report a successful thrombectomy using the AngioJet Rheolytic Thrombectomy System (AngioJet) and an embolic protection device in a patient with femorofemoral bypass graft occlusion. Lower extremity CT angiograms showed occlusion in the left-to-right femorofemoral bypass graft. A rheolytic thrombectomy using the AngioJet and balloon angioplasty restored blood flow to the right lower extremity, and distal embolization may be effectively prevented by placing an embolic protection device within the right superficial femoral artery during the procedure.

Keyword

Thrombectomy; Embolic Protection Devices; Lower Limb; Peripheral Arterial Disease; Fibrinolytic Agents
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