Rapid thrombectomy with a hydrodynamic catheter: results from a prospective, multicenter trial.

Abstract:

PURPOSE:To evaluate efficacy and safety of a hydrodynamic rheolytic thrombectomy device for rapid percutaneous treatment of acute thromboembolic occlusions of native lower-extremity arteries and bypass grafts. MATERIALS AND METHODS:In 50 patients, thrombectomy was performed with the rheolytic catheter at four centers. Patients had acute occlusions of native lower-extremity arteries (n = 39) or acute thrombosis of lower-limb bypass grafts (n = 11). Estimated occlusion age was 5 days +/- 5. Mean thrombus length was 15 cm +/- 11. Clinical success was measured on a scale of -3 (deterioration) to +3 (improvement) with established criteria. RESULTS:With the thrombectomy catheter, the majority of thrombus material was removed and antegrade blood flow was reestablished in 45 (90%) patients. Technical success (residual luminal narrowing < 50%) was 52% with use of the device alone. Adjunctive therapy was performed in 45 patients. Clinical improvement after intervention was +3 in 25 (50%) patients, +2 in 10 (20%), +1 in six (12%), and 0 (no improvement) in nine (18%). Clinically unimportant complications related to use of the device were one (2%) distal embolization and two (4%) dissections. Laboratory analysis revealed hemolysis without clinical sequelae. Primary patency rates were 76% after 30 days, 74% after 3 months, and 69% after 1 year. CONCLUSION:The hydrodynamic catheter appears to be safe and effective for rapid thrombectomy.

journal_name

Radiology

journal_title

Radiology

authors

Wagner HJ,Müller-Hülsbeck S,Pitton MB,Weiss W,Wess M

doi

10.1148/radiology.205.3.9393520

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

675-81

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

205

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Abdominal helical CT: evaluation of optimal doses of intravenous contrast material--a prospective randomized study.

    abstract:PURPOSE:To determine the optimal dose of intravenous contrast material for helical computed tomography (CT) of the abdomen on the basis of patient weight. MATERIALS AND METHODS:A prospective randomized study of helical CT of the abdomen was performed by using different doses of intravenous contrast material in 221 pat...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1148/radiology.216.3.r00se26718

    authors: Yamashita Y,Komohara Y,Takahashi M,Uchida M,Hayabuchi N,Shimizu T,Narabayashi I

    更新日期:2000-09-01 00:00:00

  • Evaluation of an emergency radiology quality assurance program at a level I trauma center: abdominal and pelvic CT studies.

    abstract:PURPOSE:To evaluate the use of a redundant system in improving quality of care in the trauma setting by examining a subset of our quality assurance program. MATERIALS AND METHODS:Five hundred thirty-one consecutive abdominal and pelvic CT reports obtained in patients with trauma at a level I trauma center from August ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2241011470

    authors: Yoon LS,Haims AH,Brink JA,Rabinovici R,Forman HP

    更新日期:2002-07-01 00:00:00

  • The portacaval space: CT with MR correlation.

    abstract::Between the portal vein and the inferior vena cava lies a small space that may be occupied by multiple anatomic structures including the caudate and papillary processes of the caudate lobe of the liver, portacaval lymph nodes, replaced or accessory right hepatic arteries, posterosuperior pancreaticoduodenal vessels, t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.156.2.4011910

    authors: Zirinsky K,Auh YH,Rubenstein WA,Kneeland JB,Whalen JP,Kazam E

    更新日期:1985-08-01 00:00:00

  • Superficial esophageal cancer: multicenter analysis of results of definitive radiation therapy in Japan.

    abstract:PURPOSE:To assess the effectiveness of definitive radiation therapy in patients with superficial esophageal cancer. MATERIALS AND METHODS:Method of irradiation, local control rate, survival rate, and complications were assessed in 105 patients (89 men, 16 women; age range, 50-88 years) with superficial esophageal canc...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.196.1.7784580

    authors: Okawa T,Tanaka M,Kita-Okawa M,Nishio M,Kikuchi Y,Shirato H,Yamada S,Asakawa H,Niibe H,Dokiya T

    更新日期:1995-07-01 00:00:00

  • Angiography in primary myomas of the alimentary tract.

    abstract::Fifteen cases of smooth muscle tumor of the alimentary tract were collected for analysis from several institutions. The findings showed that angiography is the best method available for diagnosis and evaluation of such tumors but is unable to differentiate benign from malignant lesions unless arterial invasion is dete...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.139.2.7220880

    authors: Uflacker R,Amaral NM,Lima S,Wholey M,Pereira EC,Nobrega Filho M,Tavares T

    更新日期:1981-05-01 00:00:00

  • Shoulder arthrography: comparison of morbidity after use of various contrast media.

    abstract::This prospective study compares immediate and delayed patient discomfort in 177 patients following shoulder arthrography using intraarticular combinations of metrizamide, meglumine/sodium diatrizoate, meglumine diatrizoate, lidocaine, epinephrine, and air. Patients receiving conventional ionic monomeric positive contr...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.2.3966120

    authors: Hall FM,Goldberg RP,Wyshak G,Kilcoyne RF

    更新日期:1985-02-01 00:00:00

  • Nasofrontal duct: CT in frontal sinus trauma.

    abstract::Radiologic evaluation of frontal sinus fractures is instrumental in determining the need for surgery. Computed tomography (CT) is an excellent modality for evaluation of frontal sinus trauma, particularly for anterior and posterior wall fractures. However, fractures of the nasofrontal duct are more difficult to deline...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.165.1.3628770

    authors: Harris L,Marano GD,McCorkle D

    更新日期:1987-10-01 00:00:00

  • Suspected acute pulmonary embolism: evaluation with multi-detector row CT versus digital subtraction pulmonary arteriography.

    abstract:PURPOSE:To determine diagnostic accuracy of four-channel multi-detector row computed tomography (CT) in emergency room and inpatient populations suspected of having acute pulmonary embolism (PE) who prospectively underwent both CT and pulmonary arteriography (PA). MATERIALS AND METHODS:Patients referred for PA to asse...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2333031744

    authors: Winer-Muram HT,Rydberg J,Johnson MS,Tarver RD,Williams MD,Shah H,Namyslowski J,Conces D,Jennings SG,Ying J,Trerotola SO,Kopecky KK

    更新日期:2004-12-01 00:00:00

  • Intracranial plaque enhancement in patients with cerebrovascular events on high-spatial-resolution MR images.

    abstract:PURPOSE:To characterize intracranial plaque inflammation in vivo by using three-dimensional (3D) high-spatial-resolution contrast material-enhanced black-blood (BB) magnetic resonance (MR) imaging and to investigate the relationship between intracranial plaque inflammation and cerebrovascular ischemic events. MATERIAL...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.13122812

    authors: Qiao Y,Zeiler SR,Mirbagheri S,Leigh R,Urrutia V,Wityk R,Wasserman BA

    更新日期:2014-05-01 00:00:00

  • Internal contamination of laboratory personnel by 131I1.

    abstract::Internal contamination by 131I among the personnel in a nuclear medicine laboratory was surveyed from January to July, 1979. Because of the formulation change made by the manufacturer in April to reduce volatility, it was possible to study two different therapeutic solutions of 131I. Internal contamination of personne...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.137.3.7444060

    authors: Nishiyama H,Lukes SJ,Mayfield G,Grossman LW

    更新日期:1980-12-01 00:00:00

  • Centrilobular lesions of the lung: demonstration by high-resolution CT and pathologic correlation.

    abstract::To determine the value of high-resolution computed tomography (HRCT) in the diagnosis of diffuse pulmonary diseases, a direct HRCT-pathologic correlative study was performed using four inflated and fixed lungs from autopsy. In normal lungs, the smallest pulmonary artery resolved by HRCT was 200 microns in diameter; th...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.161.3.3786710

    authors: Murata K,Itoh H,Todo G,Kanaoka M,Noma S,Itoh T,Furuta M,Asamoto H,Torizuka K

    更新日期:1986-12-01 00:00:00

  • Stereotactic core biopsy breast and blood cell by-products: a source of material for molecular genetics research--initial experience.

    abstract::Stereotactic core biopsy washings and blood drop samples, routinely discarded by-products, provide satisfactory fresh cellular material for flow cytometry and molecular genetics microsatellite polymerase chain reaction (PCR) analysis for detection of loss of DNA alleles (loss of heterozygosity). Cytokeratin-positive (...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.218.3.r01mr11881

    authors: Stomper PC,Stewart CC,Stoler DL

    更新日期:2001-03-01 00:00:00

  • Temporal bone disease: a comparison between high resolution computed tomography and pluridirectional tomography.

    abstract::Sixty-five patients with suspected ear disease were examined with CT, and abnormalities were detected in 42 of them; 58 of these patients also had pluridirectional tomographic examinations. Eighteen of the patients in whom abnormalities were detected underwent exploratory surgery. CT was useful in the diagnosis of tym...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.147.3.6844610

    authors: Virapongse C,Sarwar M,Kier EL,Sasaki C,Pillsbury H

    更新日期:1983-06-01 00:00:00

  • Detection of gastrointestinal blood loss with 99mTc-labeled, heat-treated red blood cells.

    abstract::Studies in dogs showed that heat-treated 99mTc-labeled red blood cells (HT/RBC) afford a highly sensitive means of detecting gastrointestinal bleeding as low as 0.12 ml/min., which could not be seen with unheated 99mTc-RBC, 99mTc-sulfur colloid, or 99mTc-DTPA. In addition, as the right upper quadrant and epigastrium r...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.138.1.6969900

    authors: Som P,Oster ZH,Atkins HL,Goldman AG,Sacker DF,Harold WH,Fairchild RG,Richards P,Brill AB

    更新日期:1981-01-01 00:00:00

  • Intradecidual sign: is it effective in diagnosis of an early intrauterine pregnancy?

    abstract:PURPOSE:To determine if the intradecidual sign at sonography is effective in the diagnosis of early intrauterine pregnancy. MATERIALS AND METHODS:In 102 pregnant patients, transvaginal sonography revealed an intrauterine fluid collection without a yolk sac or embryo. Four observers (experienced sonologist, body imagin...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.204.3.9280240

    authors: Laing FC,Brown DL,Price JF,Teeger S,Wong ML

    更新日期:1997-09-01 00:00:00

  • Magnetic resonance imaging of the lymph nodes: comparison with CT.

    abstract::This retrospective study of 144 patients was made to (a) assess the potential of magnetic resonance (MR) for demonstrating lymph nodes using spin-echo technique, (b) compare the MR results with those of CT, and (c) determine the optimal pulse-sequence interval (TR) and echo-delay time (TE) for imaging lymph nodes. The...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.153.3.6093190

    authors: Dooms GC,Hricak H,Crooks LE,Higgins CB

    更新日期:1984-12-01 00:00:00

  • Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data.

    abstract:PURPOSE:To determine if magnetic resonance (MR) imaging data can be used to create rigid models that are accurate representations of the right ventricular outflow tract (RVOT) and pulmonary trunk anatomy and if such models can be used to refine the selection of patients for percutaneous pulmonary valve implantation (PP...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2422051994

    authors: Schievano S,Migliavacca F,Coats L,Khambadkone S,Carminati M,Wilson N,Deanfield JE,Bonhoeffer P,Taylor AM

    更新日期:2007-02-01 00:00:00

  • Computerized bone densitometric analysis: operator-dependent errors.

    abstract:PURPOSE:To determine the nature and relative frequency of operator-dependent data analysis errors in dual x-ray absorptiometry. MATERIALS AND METHODS:Over 40 months, 2,528 dual x-ray absorptiometric examinations of the forearm, femoral neck, and lumbar spine were performed by 11 technologists by using standard techniq...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.211.2.r99ma55467

    authors: Staron RB,Greenspan R,Miller TT,Bilezikian JP,Shane E,Haramati N

    更新日期:1999-05-01 00:00:00

  • Differentiation of malignant thrombus from bland thrombus of the portal vein in patients with hepatocellular carcinoma: application of diffusion-weighted MR imaging.

    abstract:PURPOSE:To investigate the utility of diffusion-weighted (DW) imaging in distinguishing bland thrombus from neoplastic thrombus in the portal vein in patients with hepatocellular carcinoma (HCC). MATERIALS AND METHODS:In this retrospective institutional review board-approved HIPAA-complaint study, the imaging results ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.09090304

    authors: Catalano OA,Choy G,Zhu A,Hahn PF,Sahani DV

    更新日期:2010-01-01 00:00:00

  • Appendicitis: efficacy of color Doppler sonography.

    abstract:PURPOSE:To determine whether the addition of color Doppler ultrasonography (US) to gray-scale US can help diagnose appendicitis in children. MATERIALS AND METHODS:One hundred children with suspected appendicitis were evaluated with gray-scale and color Doppler US scanning. Color Doppler US scans were considered positi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.191.2.8153340

    authors: Quillin SP,Siegel MJ

    更新日期:1994-05-01 00:00:00

  • Subsolid Lung Nodule Classification: A CT Criterion for Improving Interobserver Agreement.

    abstract::Purpose To evaluate an objective computed tomographic (CT) criterion for distinguishing between part-solid (PS) and nonsolid (NS) lung nodules. Materials and Methods This study received institutional review board approval, and patients gave informed consent. Preoperative CT studies in all patients who underwent surger...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017170044

    authors: Revel MP,Mannes I,Benzakoun J,Guinet C,Léger T,Grenier P,Lupo A,Fournel L,Chassagnon G,Bommart S

    更新日期:2018-01-01 00:00:00

  • The radiological investigation of hepatic tumors in childhood.

    abstract::In hepatic tumors seen in children, treatment and prognosis differ from tumor to tumor and thus accurate determination of their extent and characteristics is important. Evaluation by gray scale ultrasonography, radionuclide imaging and angiography has produced definable characteristics for the various tumor types and ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/124.2.451

    authors: Miller JH,Gates GF,Stanley P

    更新日期:1977-08-01 00:00:00

  • Digital subtraction angiography of the abdominal aorta and renal arteries. Comparison with conventional aortography.

    abstract::Digital subtraction angiography (DSA) was used to study the cardiovascular system in more than 400 patients and was specifically compared with conventional angiography of the aorta and renal arteries in 30 patients. For the renal arteries, the overall accuracy of DSA was 71% (50/70). Excluding 11 cases of inadequate v...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.139.2.7012920

    authors: Buonocore E,Meaney TF,Borkowski GP,Pavlicek W,Gallagher J

    更新日期:1981-05-01 00:00:00

  • Post-traumatic gastric stenosis due to perigastric adhesions.

    abstract::A case of perigastric adhesions that were caused by a gunshot wound and that simulated scirrhous carcinoma is described. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.1.2981110

    authors: Schwartz GE,Sclafani SJ

    更新日期:1985-01-01 00:00:00

  • Liver metastases discovered during high-dose excretory urography.

    abstract::Liver metastases were discovered in 4 adults during high-dose excretory urography with upper abdominal tomograms. Previous reports in the English literature have noted incidental discovery of hepatic cysts or abscesses during urography, but no documented cases of liver metastases were found. All metastases were visual...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/127.2.373

    authors: Brennan R,Cossrow J,Pollack H

    更新日期:1978-05-01 00:00:00

  • Detection of single and multiple targets in tissue phantoms with fluorescence-enhanced optical imaging: feasibility study.

    abstract:PURPOSE:To evaluate the feasibility of reconstructing single and multiple targets by using fluorescence-enhanced tomography of a breast tissue phantom. MATERIALS AND METHODS:Frequency-domain fluorescence measurements were performed in cup-shaped tissue phantoms of clinically relevant size (diameter, 10 cm) in which si...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2343031725

    authors: Godavarty A,Eppstein MJ,Zhang C,Sevick-Muraca EM

    更新日期:2005-04-01 00:00:00

  • Percutaneous insertion of the Kimray-Greenfield filter: technical considerations and problems.

    abstract::Kimray-Greenfield filters were inserted percutaneously into the inferior vena cava (IVC) in 57 patients. Thirty-six were placed from the right femoral vein, 14 from the left femoral vein, and seven from the right internal jugular vein. There were no deaths or major complications and only six minor complications. Infer...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.165.2.3659360

    authors: Pais SO,Mirvis SE,De Orchis DF

    更新日期:1987-11-01 00:00:00

  • Sarcoidosis: correlation of extent of disease at CT with clinical, functional, and radiographic findings.

    abstract::Computed tomography (CT) was compared with chest radiography in the assessment of disease severity in 27 patients with sarcoidosis. The CT scans and radiographs were each read twice by two independent observers. Disease extent was assessed on CT scans by visual scoring (0%-100% involvement of the lung parenchyma) and ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.171.3.2717730

    authors: Müller NL,Mawson JB,Mathieson JR,Abboud R,Ostrow DN,Champion P

    更新日期:1989-06-01 00:00:00

  • CT colonography for combined colonic and extracolonic surveillance after curative resection of colorectal cancer.

    abstract:PURPOSE:To determine the accuracy of contrast material-enhanced computed tomographic (CT) colonography for postoperative surveillance in colorectal cancer patients without clinical or laboratory evidence of disease recurrence. MATERIALS AND METHODS:The Institutional Review Board approved this HIPAA-compliant study and...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10100385

    authors: Kim HJ,Park SH,Pickhardt PJ,Yoon SN,Lee SS,Yee J,Kim DH,Kim AY,Kim JC,Yu CS,Ha HK

    更新日期:2010-12-01 00:00:00

  • Pulmonary embolism: interobserver agreement in the interpretation of conventional angiographic and DSA images in patients with nondiagnostic lung scan results.

    abstract:PURPOSE:To assess interobserver agreement in the interpretation of digital subtraction angiographic (DSA) images and conventional angiograms in patients with nondiagnostic lung scans. MATERIALS AND METHODS:One hundred thirty of 397 consecutive patients (65 men, 65 women; mean age, 57 years; age range, 18-92 years) in ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.3.8628860

    authors: van Beek EJ,Bakker AJ,Reekers JA

    更新日期:1996-03-01 00:00:00