Table 7:
Re-Thrombosis and Revision Rates With Mechanical Thrombectomy Use in Arterial Acute Limb Ischemia
| Author, year | Outcome measurement | Results | P value | |
|---|---|---|---|---|
| MT | Comparator | |||
| PMT (AngioJet) | ||||
| de Athayde Soares et al, 202077 | Reinterventions | 11.8% (n = 2) | 35.5% (n = 11) | P = .03 |
| Escobar et al, 201778 | Thromboembolectomy | 9.6% (n = 5) | 18% (n = 9) | P > .05 |
| Gandhi et al, 201879 | Reinterventions | 42.6% (n = 23) | 51.7% (n = 15) | P = .57 |
| Time to reintervention, mean | 76 d (range 32-355 d) | 74 d (range 28-426 d) | P = .89 | |
| Vacuum aspiration (Indigo) | ||||
| No studies met our inclusion criteria for this mechanical thrombectomy device | ||||
| Rotational (Rotarex) | ||||
| Gong et al, 2021,1 included large bore catheters, AngioJet, and Rotarex | ||||
| Hundt et al, 201380 | Reintervention at 1, 3, and 6 mo | 1 mo: 11.6% (n = 8) 3 mo: 17.4% (n = 12) 6 mo: 30.4% (n = 21) |
1 mo: 8.3% (n = 6) 3 mo: 19.4% (n = 14) 6 mo: 33.3% (n = 24) |
NR |
| Muli Jogi et al, 2018,82 included both AngioJet and Rotarex (see findings discussed elsewhere in this assessment)a | ||||
| Puangpunngam et al, 202083 | Number of operations | 8.3% (n = 1) | 13.6% (n = 3) | P = .002 |
| Ultrasound assisted (EKOS) | ||||
| Schernthaner et al, 201484 | Median reinterventions | 28.0% (n = 21) | 40.7% (n = 11) | P = .221 |
Abbreviations: MT, mechanical thrombectomy; NR, not reported; PMT, pharmacomechanical thrombectomy.
a
Muli Jogi et al, 201882 compared catheter-directed thrombolysis versus AngioJet and Rotarex.