Search results for "Thrombectomy"
showing 5 items of 45 documents
Multicenter and all-comers validation of a score to select patients for manual thrombectomy, the DDTA score.
2021
Background Routine manual thrombectomy (MT) is not recommended in primary percutaneous coronary intervention (P-PCI) but it is performed in many procedures. The objective of our study was validating the DDTA score, designed for selecting patients who benefit most from MT. Methods Observational and multicenter study of all consecutive patients undergoing P-PCI in five institutions. Results were compared with the design cohort and the performance of the DDTA was analyzed in all patients. Primary end-point of the analyses was TIMI 3 after MT; secondary endpoints were final TIMI 3, no-reflow incidence, in-hospital mortality and in-hospital major cardiovascular events (MACE). In-hospital prognos…
Treatment of high- and intermediate-risk pulmonary embolism using the AngioJet percutaneous mechanical thrombectomy system in patients with contraind…
2018
Introduction Intravenous thrombolysis is the treatment of choice in patients presenting with high- and intermediate-risk pulmonary embolism. The role of percutaneous mechanical pulmonary thrombectomy (PMPT) is not fully established, although selected patients can be managed with this method. Aim This open-label single-centre prospective pilot study was aimed at assessing the feasibility of PMPT for the treatment of severe pulmonary embolism in a Polish hospital. We also evaluated the safety and efficacy of such management. Material and methods We managed 7 patients, aged 52.7 ±16.6 years, presenting with high- and intermediate-risk pulmonary embolism (4 patients with class 5 and one patient…
Cohort profile: Thrombolysis in Ischemic Stroke Patients (TRISP): a multicentre research collaboration
2018
PurposeThe ThRombolysis in Ischemic Stroke Patients (TRISP) collaboration aims to address clinically relevant questions about safety and outcomes of intravenous thrombolysis (IVT) and endovascular thrombectomy. The findings can provide observational information on treatment of patients derived from everyday clinical practice.ParticipantsTRISP is an open, investigator-driven collaborative research initiative of European stroke centres with expertise in treatment with revascularisation therapies and maintenance of hospital-based registries. All participating centres made a commitment to prospectively collect data on consecutive patients with stroke treated with IVT using standardised definiti…
Zakrzepica zatok żylnych — diagnostyka, leczenie farmakologiczne i alternatywne leczenie endowaskularne z zastosowaniem systemów do trombektomii
2018
Cel: Celem artykułu jest omówienie patofizjologii, obrazu klinicznego, neuroobrazowania zakrzepicy żył mózgowych oraz nowoczesnych metod leczenia, z uwzględnieniem leczenia endowaskularnego. Metody: Na podstawie dostępnego piśmiennictwa przeanalizowano wyniki leczenia farmakologicznego oraz alternatywnego postępowania endowaskularnego, obecnie wciąż zarezerwowanego dla chorych bez odpowiedzi lub z nieadekwatną odpowiedzią na leczenie farmakologiczne przeciwkrzepliwe. Wyniki: Objawy kliniczne zakrzepicy zatok żylnych są często niespecyficzne i wymagają dokładnej diagnostyki neurologicznej i obrazowej. Jest to o tyle istotne, że zakrzepica zatok żylnych występuje rzadko, dotyczy głównie młody…
Endovascular Rescue Treatment for Occlusion of Renal Arteries Resulting in Acute Renal Failure
2018
Urgent revascularization of renal arteries for their occlusions resulting in acute renal failure still remains a therapeutic challenge. In this paper we describe 3 cases of successful endovascular interventions for acute non-iatrogenic occlusions of renal arteries. In the first patient we managed thrombotic occlusion of the renal artery that coexisted with gastrointestinal bleeding. We recanalized occluded renal artery using an extraction catheter and stenting, and managed the bleeding with the use of embolization coils. Endovascular repair resulted in normal dieresis, still several days after the intervention gastrointestinal hemorrhage recurred and patient died due to multiple organ failu…