AngioJet™

Peripheral Thrombectomy System

Venous Thrombosis Extending From Popliteal to External Iliac Vein

Extensive DVT of the right common femoral and external iliac was treated with the 8 F AngioJet™ ZelanteDVT™ catheter.

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.

Venous Thrombosis Extending From Popliteal to External Iliac Vein occlusive thrombus

Occlusive Thrombus Extending into the iliac vein

Venous Thrombosis Extending From Popliteal to External Iliac Vein femoral vein pre-treatment

Femoral vein pre-treatment

Venous Thrombosis Extending From Popliteal to External Iliac Vein iliac vein post-ZelanteDVT

Iliac vein post-ZelanteDVT

Venous Thrombosis Extending From Popliteal to External Iliac Vein iliac vein post-PTA & Stent

Iliac vein post-PTA & stent

Venous Thrombosis Extending From Popliteal to External Iliac Vein femoral vein post-ZelanteDVT

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

60 year old female presented with 4 weeks calf pain 1 week swelling.
Iliofemoral thrombus pre-treatment

Iliofemoral thrombus pre-treatment (left) and Power Pulse™ delivery (right)

Post ZelanteDVT™  Mechanical Thrombectomy

Post-ZelanteDVT™  Mechanical Thrombectomy

ZelanteDVT™  Mechanical Thrombectomy runtime 415 seconds

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

47 year old male presented with leg swelling ~2 weeks                                    
Acute DVT Left Lower Extremity Revascularization pre-treatment angio

Acute Iliofemoral Thrombus Pre-treament

IVC Filter placed (left image)

Acute DVT Left Lower Extremity Revascularization post-treatment

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

 

Patient was not given lytics prior to procedure either
Patient was not given lytics prior to procedure either

Post-PowerPulse™ and Thrombectomy

30 minute Dwell Time of Lytics and 3 min 10 seconds of thrombectomy

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