Mechanical thrombectomy of venous in-stent thrombosis with the novel RevCore thrombectomy system: A report of 2 cases.
Radiol Case Rep
; 19(2): 576-580, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-38074423
ABSTRACT
In-stent thrombosis (IST) is a common venous stent complication. Acute IST warranting intervention can generally be treated with catheter-directed thrombolysis or aspiration thrombectomy. However, thrombosed stents often have chronic-appearing components that pose a significant treatment challenge as the thrombus firmly adheres to the stent and vessel wall and becomes resistant to thrombolytics and aspiration thrombectomy. Alternate treatment options such as venoplasty, stent relining, and medical management do not remove existing IST but rather remodel the lumen with limited long-term efficacy. This report details 2 cases of chronic-appearing IST successfully debulked with the novel RevCore Thrombectomy System. RevCore, designed to mechanically liberate acute to chronic IST via an expandable nitinol coring element, achieved substantial luminal gain and sustained patency in both patients.
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1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Radiol Case Rep
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Países Bajos