Successful endovascular treatment in patients with acute thromboembolic ischemia of the lower limb including the crural arteries

Figure 1 The angiography of patient A. A: Thrombotic occlusion of the common femoral artery (CFA) (blue arrow); B: Mechanical debulking using the Rotarex®S catheter (arrow); C,D: Anterograde flow was restored in the CFA after debulking with reduced flow in the foot arteries; E: Local thrombolysis was performed using a dedicated Unifuse catheter (arrow).

Figure 2 The angiography of patient A. The following day, a complete resolution of thrombus material was found in the common femoral artery. A-D: Superficial femoral artery and deep femoral artery (A-C) with new occlusion of the popliteal artery (D); E: Repeated Rotarex^® debulking in the popliteal artery and continued to the proximal and median parts of the anterior tibial artery; F,G: Restoration of flow of the anterior tibial artery and of the foot.

Figure 3 The angiography of patient B. A: Thrombotic occlusion of the common femoral artery and profound femoral artery (blue arrows); B: Good angiographic reflow after repeated treatment with the 6F Rotarex^®S mechanical debulking catheter; C: Thrombus formation in the popliteal and in the anterior tibial artery; D: No flow restoration in the anterior tibial artery after treatment with the 6F Rotarex^®S in the popliteal artery; E: Flow restoration after deploying the Rotarex^®S in the anterior tibial artery.

Figure 4 The angiography of patient C. A: Thrombotic occlusion of the right popliteal artery (blue arrows); B: Further thrombus formation in the right posterior tibial artery (blue arrows); C: Rotarex^®S catheter in the popliteal artery; D: Remaining thrombus formation in the tibiofibular trunk and in the posterior tibial artery (arrows); E,F: Flow restoration in the foot after using the Rotarex^®S in the proximal and median segments of the posterior tibial artery.