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Directional AngioJet Thrombectomy with Guide Catheter Helical Spin Technique 

Directional AngioJet Thrombectomy with Guide Catheter Helical Spin Technique
Chapter:
Directional AngioJet Thrombectomy with Guide Catheter Helical Spin Technique
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0037
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date: 24 October 2020

The presence of thrombus in the central veins is associated with a higher risk of development post-thrombotic syndrome. The AngioJet Solent Proxi (90 cm) and Omni (120 cm) catheters are commonly used peripheral thrombectomy devices indicated for acute arterial and venous thrombus removal. Both catheters are 6 Fr sheath/8 Fr guide catheter compatible, and both offer the Power Pulse feature, allowing the direct infusion of tissue plasminogen activator into the thrombus. The catheters are indicated for use in vessels greater than 3 mm, with an optimal vessel range between 6 and 20 mm. Their use in the removal of iliac vein and inferior vena cava thrombus is frequent. Although the system is purported to provide effective thrombectomy capabilities in larger vessels, incomplete thrombus removal is common with larger vessels. This chapter proposes a simple modification in the standard use of the AngioJet Solent Proxi and Omni catheters.

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