REGULAR CONTENT
Final ID
668
Type
Educational Exhibit-Poster Only
Authors
J Savin1, M Savin2
Institutions
1Beaumont Health System, Royal Oak, MI, 2Oakland University William Beaumont School of Medicine, Royal Oak, MI
Purpose
To discuss techniques and outcomes of mechanical thrombectomy with a 15 mm rotational thrombectomy device, the Cleaner 15, in large venous spaces including thromboses within an IVC filter, iliac veins, a subclavian vein, and an aneurysmal cephalic vein that was part of a dialysis fistula. We will provide tips on how to successfully and safely use this device.
Materials & Methods
Ideally, a rotational thrombectomy device is a wall contact device and it should fit the size of the vessel it will be used in. Mechanical thrombectomy in large venous spaces has been accomplished, but has been challenging with thrombectomy devices, many of which are designed for smaller vessels. The Cleaner 15 is a rotational thrombectomy device that uses a sinusoidal shaped wire with a 15 mm amplitude while spinning. It is FDA approved for mechanical thrombectomy in the peripheral vasculature, native vessel dialysis fistulae, and synthetic dialysis access grafts. However, because of its 15 mm diameter, it can be used off-label for mechanical thrombectomy in larger venous spaces.
Results
We will review the use of a 15 mm mechanical thrombectomy device for treatment of thrombosis within an IVC filter, iliac veins, a subclavian vein, and an aneurysmal cephalic vein that was part of a dialysis fistula. We will discuss: 1. Patient selection. 2. Technique including use in combination with other clot removal strategies. 3. Results. 4. Possible complications, including distal embolization, with techniques to prevent them.
Conclusions
The Cleaner 15 can be used safely and effectively to treat acute thrombosis in a variety of large venous spaces, including filter bearing IVCs, iliac veins, subclavian veins, and aneurysmal cephalic veins.
Final ID
668
Type
Educational Exhibit-Poster Only
Authors
J Savin1, M Savin2
Institutions
1Beaumont Health System, Royal Oak, MI, 2Oakland University William Beaumont School of Medicine, Royal Oak, MI
Purpose
To discuss techniques and outcomes of mechanical thrombectomy with a 15 mm rotational thrombectomy device, the Cleaner 15, in large venous spaces including thromboses within an IVC filter, iliac veins, a subclavian vein, and an aneurysmal cephalic vein that was part of a dialysis fistula. We will provide tips on how to successfully and safely use this device.
Materials & Methods
Ideally, a rotational thrombectomy device is a wall contact device and it should fit the size of the vessel it will be used in. Mechanical thrombectomy in large venous spaces has been accomplished, but has been challenging with thrombectomy devices, many of which are designed for smaller vessels. The Cleaner 15 is a rotational thrombectomy device that uses a sinusoidal shaped wire with a 15 mm amplitude while spinning. It is FDA approved for mechanical thrombectomy in the peripheral vasculature, native vessel dialysis fistulae, and synthetic dialysis access grafts. However, because of its 15 mm diameter, it can be used off-label for mechanical thrombectomy in larger venous spaces.
Results
We will review the use of a 15 mm mechanical thrombectomy device for treatment of thrombosis within an IVC filter, iliac veins, a subclavian vein, and an aneurysmal cephalic vein that was part of a dialysis fistula. We will discuss: 1. Patient selection. 2. Technique including use in combination with other clot removal strategies. 3. Results. 4. Possible complications, including distal embolization, with techniques to prevent them.
Conclusions
The Cleaner 15 can be used safely and effectively to treat acute thrombosis in a variety of large venous spaces, including filter bearing IVCs, iliac veins, subclavian veins, and aneurysmal cephalic veins.