Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for...

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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

Transcript of Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for...

Page 1: Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology

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

Page 2: Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology

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

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What is new in ALI therapy?

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What is new in ALI therapy?

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Typical case for thrombolysis

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Typical case for thrombolysis

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Case for endovascular thrombectomy

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Case for endovascular thrombectomy

6F Rotarex (Straub Medical)

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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

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4F Angiojet ® 14 hours rt-PA

Coupling CDT with mechanical thrombectomy devices

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Conclusion

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Page 14: Treatment Approaches for Acute Limb Ischemia...Acute Limb Ischemia Marcus Thieme, MD Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology

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