The use of the Trellis-6 thrombectomy device in the management of acute limb ischemia due to native vessel occlusion: challenges, tips, and limitations

Catheter Cardiovasc Interv. 2013 Jan 1;81(1):142-7. doi: 10.1002/ccd.24357. Epub 2012 May 2.

Abstract

The role of endovascular therapy is expanding in the treatment of acute limb ischemia (ALI). In addition to catheter-based thrombolysis, there are multiple devices which allow for clot disruption and aspiration. The Trellis catheter system provides mechanical agitation of thrombus coupled with chemical thrombolysis. We present two cases of native arterial occlusions in which the Trellis catheter was used for thrombolysis. Procedural tips and challenges associated with the use of this device in native vessels are discussed.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Angiography / methods
  • Angioplasty / instrumentation*
  • Angioplasty / methods
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / therapy*
  • Catheterization, Peripheral / methods
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / pathology
  • Follow-Up Studies
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / pathology
  • Intermittent Claudication
  • Ischemia / therapy
  • Leg / blood supply*
  • Peripheral Vascular Diseases / diagnostic imaging
  • Peripheral Vascular Diseases / therapy
  • Risk Assessment
  • Thrombectomy / instrumentation
  • Thrombectomy / methods
  • Treatment Outcome
  • Vascular Patency / physiology