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New Techniques For Percutaneous Mechanical Thrombolysis

Division of Vascular Surgery, Stanford University, Stanford, CA; farko{at}stanford.edu

Acute arterial deep venous thrombosis is one of the most commonly treated conditions in vascular disease. Arteriosclerosis of the extremities is the most common cause of occlusive arterial disease in patients over 40 years of age. Acute lower-extremity deep vein thrombosis also remains a major clinical issue: over 1 million new cases are diagnosed in the United States annually. This results in an estimated 50,000 to 200,000 deaths that are due to pulmonary embolism each year. Deep vein thrombosis is also responsible for substantial long-term morbidity owing to the development of the postthrombotic syndrome. With such a high prevalence of acute arterial and venous thrombosis, it is apparent that any improvement in therapy has the potential for a significant effect on the general health. This article is directed at providing the practicing vascular surgeon with the basic fund of knowledge in treating acute arterial and venous thrombosis with percutaneous mechanical thrombectomy devices.

Key Words: deep vein thrombosis • percutaneous mechanical thrombectomy device • arteriosclerosis

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