The Role of Percutaneous Rotational Mechanical Thromboatherectomy in Treatment of Patients with Acute Lower Limb Ischemia | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 3, July 2025, Pages 835-841 PDF (440.78 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.340627.1298 | ||
| Authors | ||
| Hossam Z. Yousuf* ; Mostafa S. Ahmed; Mohamed R. Saafan; Ahmed A. Taha | ||
| Department of Vascular Surgery, Kasr Alainy, Faculty of Medicine, Cairo University, Cairo, Egypt | ||
| Abstract | ||
| Background: Acute limb ischemia is characterized by a sudden decline in limb perfusion that threatens limb survival. Thromboembolectomy via a Fogarty catheter was the conventional treatment for limb ischemia. Devices for percutaneous mechanical thrombectomy have been utilized to improve results. This study aimed to assess the percutaneous rotational mechanical thromboatherectomy device's success rate, limb salvage rate, patency rate, and complications in cases of acute lower limb ischemia. Patients and Methods: This a single-arm clinical study with thirty limb-ischemia cases. The cases were subjected to a percutaneous rotational mechanical thromboatherectomy device (Rotarex® S catheter) and followed up for 12 months. Results: The cases’ mean age was 67 years. The most common target vessel was the superficial femoral artery. Technical success (≤30% residual stenosis) was accomplished in 27 patients (90%) that reached 100% with adjunctive procedures. Extra treatment involving stent deployment, balloon angioplasty, or drug-coated balloon was done. Two (6.6%) cases had distal embolization, and one (3.3%) case had SFA perforation. After 1 month, 90% had primary patency and 10% mortality, while after 12 months, 67% had primary patency and a 13.3% mortality rate. Conclusion: Rotational mechanical thromboatherectomy has shown a beneficial role in restoring arterial flow with a low failure rate and difficulties and an increasing limb salvage rate. | ||
| Keywords | ||
| DCB; Limb ischemia; Limb salvage; Mechanical thromboatherectomy; Patency; Stent | ||
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