Amputations were scheduled above the left knee and below right knee for bilateral lower limb gangrene after failure of bilateral femoral embolectomy
. Patient was shifted from surgery to our cardiology unit where a diagnosis of Postpartum Cardiomyopathy (PPCM) was made after excluding other causes.
Tenders are invited for (10714 catheter of embolectomy
/ thrombectomy, 35449 implant of neurovascular embolization, 45851 stent for carotid artery metal uncovered, 58112 system of protection of carotid arteries from embolism)
Guidelines recommend CDT as an alternative to surgical embolectomy
for patients who did not respond to systemic thrombolysis, who are at risk of death before systemic thrombolysis takes effect, and those with contraindications for systemic thrombolysis [3, 18].
If there is no response to anticoagulant therapy, pulmonary embolectomy
surgery can be applied (6).
ICHOR is a "one size fits all" system that replicates the standard of care of surgical embolectomy
/ thrombectomy but in a minimally invasive manner:
Emergency pulmonary embolectomy
with percutaneous cardiopulmonary bypass.
 Optimism about mechanical thrombectomy diminished when 3 early randomised controlled trials (RCTs) published in 2013 (IMS III (Interventional Management of Stroke III), MR RESCUE (Mechanical Retrieval and Recanalization of Stroke Clots Using Embolectomy
) and SYNTHESIS (Local Versus Systemic Thrombolysis for Acute Ischemic Stroke)) failed to show improved efficacy of endovascular clot retrieval compared with IV r-tPA alone.
These included the Fogarty vascular embolectomy
catheter, single-lumen endotracheal tube and the wire-guided endobronchial blocker.
Conservative management has been proposed in asymptomatic patients due to the risks of venous embolectomy
. It is important to note, however, that conservative management may lead to complications including cardiac injury, pulmonary emboli, arrhythmias, and central ischemia.
Because of the patient's unstable hemodynamic status and the high risk of bleeding, thrombolysis and embolectomy
were not administered.
Applied Medical's clot management product line, including Syntel embolectomy
and thrombectomy catheters, Python over-the-wire embolectomy
catheters, Latis graft cleaning catheters and irrigation catheters, is now available through LeMaitre Vascular.
and balloon angioplasty were performed for limb ischemia.