Treatment Approaches for Acute Limb Ischemia

Marcus Thieme, MD

Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology Medicine and Vascular Center

Jena University Hospital REGIOMED Hospital Sonneberg

Disclosure

Speaker name: Marcus Thieme

I have the following potential conflicts of interest to report:

Consulting

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

Other(s)

I do not have any potential conflict of interest

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What is new in ALI therapy?

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What is new in ALI therapy?

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Typical case for thrombolysis

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Typical case for thrombolysis

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8

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Case for endovascular thrombectomy

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Case for endovascular thrombectomy

6F Rotarex (Straub Medical)

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Coupling CDT with mechanical thrombectomy devices

→ Power pulse thrombolysis

- Angiojet ® thrombectomy system

- 4F, 6F, 8F

- Power injection of 10mg rt-PA (Actilyse ®)

with the Angiojet ® catheter

- wait for 20 to 30 minutes

- thrombectomy with Angiojet ® catheter

→Fresh thrombotic occlusions only (2 to max.

5 days)

→Also to reduce thrombus mass and restore

perfusion before subsequent thrombolysis

Case for endovascular thrombectomy

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4F Angiojet ® 14 hours rt-PA

Coupling CDT with mechanical thrombectomy devices

Conclusion

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Treatment Approaches for Acute Limb Ischemia

Marcus Thieme, MD

Clinic for Internal Medicine I / Head of Department of Internal Head of Department of Angiology Medicine and Vascular Center

Jena University Hospital REGIOMED Hospital Sonneberg