The FlowTriever is an over-the-wire system designed to:
Remove clot through both mechanical and aspiration mechanisms of action
Capture and Remove large clot burden from big vessels
Treat in a single session
Eliminate the need for thrombolytics
Eliminate ICU Stay
Device Components
Triever20
The Triever20 features a highly trackable, large lumen catheter, and large bore syringe designed to rapidly extract large volumes of clot while limiting blood loss.
FlowTriever Catheter
The FlowTriever Catheter features three self-expanding nitinol mesh disks that are designed to engage, disrupt, and deliver clot to the Triever20 for extraction.
The FlowTriever System is indicated for:
- The non-surgical removal of emboli and thrombi from blood vessels
- Injection, infusion and/or aspiration of contrast media and other fluids into or from a blood vessel
The FlowTriever System is intended for use in the peripheral vasculature and for the treatment of pulmonary embolism.
Caution: Federal (USA) law restricts this device to sale by or on the order of a physician
Case Study
Pre FlowTriever PA-gram
Post FlowTriever PA-gram
Clot Haul
“The FlowTriever System represents a valuable new option in the interventional toolbox for effectively treating PE.” (EV Today, Mar. 2019 issue)
FlowTriever Bibliography:
| # | Publication | Publication Type |
| 1 | Weinberg AS, Dohad S, Ramzy D. et al. Clot extraction with the FlowTriever device in acute massive pulmonary embolism. J. Intensive Care Med 2016. | Case Report |
| 2 | Jaber WA, Fong PP, Weisz G, et al. Acute pulmonary embolism with an emphasis on an interventional approach. JACC 2016;67(8):991-1002. | Case Report |
| 3 | Chauhan CA, Scolieri SK, Toma C. Percutaneous pulmonary embolectomy using the FlowTriever Retrieval/Aspiration System. JVIR 2017;28(4):621-3. | Case Report |
| 4 | Tukaye DN, McDaniel M, Liberman H, et al. Percutaneous pulmonary embolus mechanical thrombectomy. JACC 2017;10(1):94-5. | Case Report |
| 5 | Engelhardt TC. Rapid removal of pulmonary emboli and subsequent reversal of right ventricular dysfunction using the FlowTriever Retrieval/Aspiration System. CathLabDigest Feb 2017;25(2). | Case Report |
| 6 | Ishola A, Ahmad US, Voelkel AJ, et al. Retrieve to relieve: Novel percutaneous thrombectomy device in selected patients with pulmonary embolism. CathLab Digest; Volume 25, Issue 5, May 2017. | Single-center Case Series |
| 7 | Nosher et al. Endovascular treatment of pulmonary embolism: Selective review of available techniques. World Journal of Radiology. December 28, 2017. | Technical Review |
| 8 | Beasley R, Marston W, Annambhotla S, Jaber WA. Emerging Tools for Lytic-Free, Single-Session Treatment of Venous Thromboembolic Disease. Insert to Endovascular Today, August 2018, Vol. 17, No. 8. | Case Report |
| 9 | Attallah A, Kado H, Novel Mechanical Thrombectomy Tools for Venous Thromboembolism. Insert to Endovascular Today, November 2018, Vol. 17, No. 11. | Case Report |
| 10 | Devcic Z and Kou W. Percutaneous pulmonary embolism thrombectomy and thrombolysis: Technical tips and tricks. Semin Intervention Radio, 2018; 35:129-135 | Technical Review |
| 11 | Basman C, Rashid U, Parmar YJ, et al. The role of percutaneous vacuum-assisted thrombectomy for intracardiac and intravascular pathology. J Card Surg. 2018;33(10):666-672. | Review |
| 12 | Improving the Risk/Benefit Profile for Managing VTE With Lytic-Free Mechanical Thrombectomy, Insert to Endovascular Today, March 2019, Vol. 18, No. 3. | Case Report |
| 13 | Avgerinos E et al. Catheter-director thrombolysis versus suction thrombectomy in the management of acute pulmonary embolism. J Vasc Surg: Venous and Lym Dis 2019; 1-6. | Clinical Study |
| 14 | Yale School of Medicine: New Treatment to Remove Clots Offers Dramatic Results, March 14, 2019 | Hospital Newsletter |
| 15 | Tu T, Toma C, Tapson VF, et al. A Prospective, Single-Arm, Multicenter Trial of Catheter-Directed Mechanical Thrombectomy for Intermediate-Risk Acute Pulmonary Embolism: The FLARE Study. JACC Cardiovasc Interv. 2019;12(9):859-869. | 510k Clinical Trial |
| 16 | Tu, Maldonado, Annambhotla: Common but complex venous cases, EVT publication, July | Case Series |
| 17 | Rivera-Lebron et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clinical and Applied Thrombosis/Hemostasis (25): 1-16. June 2019. | Review |
| 18 | Wible, Buckley, Cho, Bunte, Saucier, and Borsa. Safety and Efficacy of Acute Pulmonary Embolism Treated via Large-Bore Aspiration Mechanical Thrombectomy Using the Inari FlowTriever Device. J Vasc Interv Radiol 2019; 1–6. | Retrospective Single-center Study |
| 19 | Giri, Sista, Weinberg, et al. Interventional Therapies for Acute Pulmonary Embolism: Current Status and Principles for the Development of Novel Evidence. A Scientific Statement from the American Heart Association. Circulation 2019. ; 140:00-00. | Review |
| 20 | Kishore and Dillon - Is It Time to End the Therapeutic Nihilism Toward Treating VTE in Cancer Patients? EVT October issue | Case Series |
| 21 | Nezami et al., Right Atrial and Massive Pulmonary Artery Mechanical Thrombectomy Under Echocardiography Guidance Using the FlowTriever System EJVES short reports https://doi.org/10.1016/j.ejvssr.2019.10.001 | Case Report |
| 22 | Salimnia and Qaqi A Patient With Spontaneous Pulmonary Embolism and Concomitant Deep Vein Thrombosis Treated With FlowTriever and ClotTriever Mechanical Thrombectomy VASCULAR DISEASE MANAGEMENT 2019;16(11):E161-E164. |
Case Report |
| 23 | Sharp and Attallah, Future perspectives in catheter-based treatment of pulmonary embolism European Heart Journal Supplements (2019) 21 (Supplement I), I31–I37 |
Review |
The Inari Story