EJVES Extra
Volume 19, Issue 3 , Pages e25-e27, March 2010

Catheter-delivered Transducer-tipped Ultrasound Thrombolysis of a Chronically Occluded Aortic Stentgraft Limb

  • L. Daniels

      Affiliations

    • Department of Surgery, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    • ,
  • A.W.J. Hoksbergen

      Affiliations

    • Department of Surgery, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31204444517; fax: +31204443620.
    • ,
  • H.M.E. Coveliers

      Affiliations

    • Department of Surgery, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    • ,
  • R.J. Lely

      Affiliations

    • Department of Radiology, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    • ,
  • J.H. Nederhoed

      Affiliations

    • Department of Surgery, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands
    • ,
  • W. Wisselink

      Affiliations

    • Department of Surgery, VU University Medical Centre, PO Box 7057, 1007 MB Amsterdam, The Netherlands

Received 5 November 2009; accepted 22 December 2009. published online 08 February 2010.

Abstract 

Endovascular aneurysm repair (EVAR) is increasingly used to treat infrarenal abdominal aortic aneurysm. EVAR is almost exclusively accomplished by using bifurcated, bi-iliac stentgrafts. Nevertheless, it is accompanied with a considerable incidence of stentgraft limb occlusion. In case of acute occlusion endovascular revascularization options are plentiful, but for chronically occluded stentgraft limbs such consensus is lacking. Catheter-delivered transducer-tipped ultrasound (US) thrombolysis is a new technique specifically coined for the treatment of (sub)acute peripheral arterial occlusions and deep venous thrombosis. We describe a unique case of successful treatment of a chronically occluded stentgraft limb after EVAR with catheter-delivered transducer-tipped US thrombolysis.

Keywords: EVAR, Limb occlusion, Thrombolysis, Ultrasound, EKOS

 

PII: S1533-3167(10)00002-6

doi:10.1016/j.ejvsextra.2009.12.001

Refers to article:

  • Catheter-delivered Transducer-tipped Ultrasound Thrombolysis of a Chronically Occluded Aortic Stentgraft Limb , 26 February 2010

    L. Daniels, A.W.J. Hoksbergen, H.M.E. Coveliers, R.J. Lely, J.H. Nederhoed, W. Wisselink
    European Journal of Vascular & Endovascular Surgery April 2010 (Vol. 39, Issue 4, Page 521)

EJVES Extra
Volume 19, Issue 3 , Pages e25-e27, March 2010

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