AngioJet™
Peripheral Thrombectomy System
Featured case
Venous thrombosis extending from popliteal to external iliac vein
Patient history
73 year old with 1-week old right leg swelling and pain. Started on anticoagulation and discharged.
Consult confirmed extensive DVT from popliteal extending into external iliac vein.
Occlusive thrombus extending into the iliac vein
Femoral vein pre-treatment
Iliac vein post-ZelanteDVT
Iliac vein post-PTA & stent
Femoral vein post-ZelanteDVT
Procedural Steps
- PowerPulse ( tPA 10 mg in 50 cc)
- Patient put on 2-hour lytic catheter drip in holding area
- Thrombectomy performed with 8F ZelanteDVT catheter
- Directional ability of ZelanteDVT allowed targeting of residual thrombus in Popliteal and Superficial Femoral Vein Post Venography shows complete resolution of thrombus
Images courtesy of Jeffrey Y. Wang, MD FACS, Vascular Surgeon; Horizon Vascular Specialist, Maryland. November, 2015
Pharmacomechanical revascularization of extensive iliofemoral thrombus
Iliofemoral thrombus pre-treatment (left) and Power Pulse™ delivery (right)
Post-ZelanteDVT™ Mechanical Thrombectomy
Post-ZelanteDVT™ runtime 415 seconds
Procedural Steps
- Power Pulse™ delivery 10mg tPA
- 20 minute dwell time
- ZelanteDVT runtime 415 seconds
- Total case time 90 minutes
Images Courtesy of Charles Wyble M.D. – Vascular Surgical Associates, Marietta, Georgia – January 5, 2016
Acute DVT left lower extremity revascularization
Acute Iliofemoral thrombus pre-treatment
IVC Filter placed (left image)
Post ZelanteDVT™ pharmacomechanical thrombectomy
Procedural steps
- Power Pulse™ delivery of 10mg tPA followed by
- 20 minute dwell time
- Total runtime was 300 seconds
Case images courtesy of David Wilson M.D. – Harbin Clinic, Rome, Georgia – December 19, 2015
Acute DVT Left Lower Extremity Swelling
Pre-treatment
48 year old woman with a history of metastatic cervical cancer with new left lower swelling. The patient has known intracranial aneurysm in addition to an enhancing pelvic mass
Thrombectomy treatment with AngioJet™ Solent™ Omni catheter
Treatment with AngioJet Solent Omni Thrombectomy catheter. No Power Pulse™ Delivery used
Post-treatment venogram
Final result
Treatment of May-Thurner
Pre-procedure venogram
IVC/Iliac and prox common fem
1 pass AngioJet™ Solent™ Proxi
(Patient has not had any lytics)
Distal Iliac and common fem
Collection bag after first pass
Clot from single pass of distal iliac and common fem
Power pulse was used for second pass with AngioJet
Post-PowerPulse™ and Thrombectomy
30 minute dwell time of lytics and 3 min 10 seconds of thrombectomy