Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for...
Transcript of Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for...
Treatment Approaches for Acute Limb Ischemia
Marcus Thieme, MD
Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology Medicine and Vascular Center
Jena University Hospital REGIOMED Hospital Sonneberg
Disclosure
Speaker name: Marcus Thieme
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)
I do not have any potential conflict of interest
3
What is new in ALI therapy?
4
What is new in ALI therapy?
5
Typical case for thrombolysis
6
Typical case for thrombolysis
7
8
9
Case for endovascular thrombectomy
10
Case for endovascular thrombectomy
6F Rotarex (Straub Medical)
11
Coupling CDT with mechanical thrombectomy devices
→ Power pulse thrombolysis
- Angiojet ® thrombectomy system
- 4F, 6F, 8F
- Power injection of 10mg rt-PA (Actilyse ®)
with the Angiojet ® catheter
- wait for 20 to 30 minutes
- thrombectomy with Angiojet ® catheter
→Fresh thrombotic occlusions only (2 to max.
5 days)
→Also to reduce thrombus mass and restore
perfusion before subsequent thrombolysis
Case for endovascular thrombectomy
12
4F Angiojet ® 14 hours rt-PA
Coupling CDT with mechanical thrombectomy devices
Conclusion
13
Treatment Approaches for Acute Limb Ischemia
Marcus Thieme, MD
Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology Medicine and Vascular Center
Jena University Hospital REGIOMED Hospital Sonneberg