Single-center experience with Indigo aspiration thrombectomy for acute lower limb ischemia

AbsractObjectiveAcute lower limb ischemia (ALLI) is a challenging vascular emergency with notable morbidity. Aspiration mechanical thrombectomy (AMT) devices are an alternative approach to remove thrombus in the peripheral arterial system and to restore limb perfusion, but data are limited. We evalu...

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Bibliographic Details
Published in:Journal of vascular surgery 2020-07, Vol.72 (1), p.226-232
Main Authors: Lopez, Ricardo, MD, Yamashita, Thomas Szabo, MD, Neisen, Melissa, MD, Fleming, Mark, MD, Colglazier, Jill, MD, Oderich, Gustavo, MD, DeMartino, Randall, MD, MS
Format: Article
Language:English
Subjects:
Acute Disease
Acute lower limb ischemia
Adult
Aged
Aged, 80 and over
Amputation
Aspiration mechanical thrombectomy
Catheter-directed thrombolysis
Endovascular Procedures - instrumentation
Equipment Design
Female
Humans
Indigo continuous aspiration mechanical thrombectomy device
Ischemia - diagnostic imaging
Ischemia - physiopathology
Ischemia - therapy
Limb Salvage
Lower Extremity - blood supply
Male
Middle Aged
Peripheral Arterial Disease - diagnostic imaging
Peripheral Arterial Disease - physiopathology
Peripheral Arterial Disease - therapy
Recurrence
Retrospective Studies
Risk Factors
Stents
Suction
Surgery
Thrombectomy - adverse effects
Thrombectomy - instrumentation
Thrombolytic Therapy
Time Factors
Treatment Outcome
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Description
Summary:AbsractObjectiveAcute lower limb ischemia (ALLI) is a challenging vascular emergency with notable morbidity. Aspiration mechanical thrombectomy (AMT) devices are an alternative approach to remove thrombus in the peripheral arterial system and to restore limb perfusion, but data are limited. We evaluated the outcomes of AMT for the treatment of ALLI at our institution. MethodsWe performed a single-center retrospective review of patients with ALLI treated with Indigo (Penumbra Inc, Alameda, Calif) AMT device from 2014 to 2017. The primary outcome was technical success (restoration of blood flow with 
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2019.10.079