Le ClotTriever est un système sur guide conçu pour:
Extraire mécaniquement le caillot de la paroi veineuse
Capturer et éliminer les caillots volumineux des gros vaisseaux
Traiter en une seule séance
Éliminer le besoin de thrombolytiques
Éliminer le séjour en USI
Éviter l’investissement en biens d’équipement
Composants du dispositif
Gaine ClotTriever
La gaine ClotTriever comporte un entonnoir auto-expansible en treillis de nitinol pour maximiser le retrait du caillot. De plus, la gaine est dotée d’un robinet d’arrêt pour l’aspiration et d’une valve hémostatique pour l’insertion du cathéter.
Cathéter ClotTriever
Le cathéter ClotTriever comporte un segment de carottage en nitinol et un sac de recueil tressé, conçus pour forer et recueillir le caillot en vue de son extraction par la gaine ClotTriever.
Indications:
- L’extraction non chirurgicale des emboles et des thrombus des vaisseaux sanguins.
- L’injection, la perfusion et/ou l’aspiration de produits de contraste et d’autres liquides dans ou depuis un vaisseau sanguin.
Le système de thrombectomie ClotTriever est conçu pour être utilisé dans le système vasculaire périphérique, y compris pour la thrombose veineuse profonde (TVP).
Mise en garde: Selon la loi fédérale américaine, ce dispositif ne peut être vendu que par un médecin ou sur ordonnance.
Retention Device for Mid to Large-Bore Venous Closure
FlowStasis™ is the first large bore suture retention designed to address all aspects of venous access site closure. Purpose-built to improve upon standard of care suturing techniques, FlowStasis provides consistent, adjustable and non-obtrusive hemostasis while having an easy-to-use profile.
Key Benefits:
- Patent hemostasis to eliminate vessel injury and reduce the risk of clotting
- Easy application and removal by all hospital staff
- Adjustable tension for rapid hemostasis
- Non-obtrusive profile with atraumatic design that conforms to patient anatomy
- Single device for multiple adjacent access sites
- No permanent or resorbable implants left behind
Étude de cas
Angiographie pulmonaire pré-ClotTriever
Veinographie post-ClotTriever
Extraction de caillot
« Le système ClotTriever étend l’arsenal thérapeutique des thérapies interventionnelles vasculaires pour traiter le caillot veineux et même le caillot subaigu et chronique sans avoir besoin de thrombolytiques et des complications hémorragiques potentielles associées » (EV Today, numéro d’août 2018)
Bibliographie du ClotTriever:
| # | Publication | Type de publication |
| 1 | Crowner J, Marston W. Percutaneous Thrombectomy Using a Novel Single-Session Device for Acute Iliocaval Deep Venous Thrombosis. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2018;6(2):300-301. | Case Report |
| 2 | 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 |
| 3 | Attallah A, Kado H, Novel Mechanical Thrombectomy Tools for Venous Thromboembolism. Insert to Endovascular Today, November 2018, Vol. 17, No. 11. | Case Report |
| 4 | 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 |
| 5 | Tu, Maldonado, Annambhotla: Common but complex venous cases, EVT publication, July 2019. | Case Series |
| 6 | Crowner and Marston Percutaneous thrombectomy using a novel single-session device for acute ilio-caval deep vein thrombosis. Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 3, September 2019, Pages 302-304 | Case Report |
| 7 | Cornman-Homonoff et al Intravascular Ultrasound-Guided Extraction of Free-Floating Inferior Vena Cava Tumor Thrombus Using the ClotTriever Mechanical Thrombectomy Device JVIR https://doi.org/10.1016/j.jvir.2019.04.035 | Case Report |
| 8 | Kishore and Dillon – Is It Time to End the Therapeutic Nihilism Toward Treating VTE in Cancer Patients? EVT October issue | 2 Case Reports |
| 9 | Srivastava Acute thrombolysis-resistant occlusive left femoral and iliac venous thrombosis treated with mechanical thrombectomy via the ClotTriever device. Ann Vasc Surg. 2019 Nov 7. pii: S0890-5096(19)30960-4. doi: 10.1016/j.avsg.2019.10.097. [Epub ahead of print] | Case Report |
| 10 | 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 |
| 11 | Nezami et al., Vertebroplasty-associated cement leak leading to iatrogenic venous compression and thrombosis. Journal of Vascular Surgery Cases and Innovative Techniques Dec 2019 | Case Report |
| 12 | Dr. Varghese Cathlab Digest CT/DVT A New Kid in Town: Single Session Treatment for Iliofemoral DVT Without Thrombolytics Issue Number Volume 27 – Issue 12 – December 2019 CathLab Digest |
Case Report |
| 13 | Benarroch-Gampel et al. Technical success and short-term outcomes after treatment of lower extremity deep vein thrombosis with the ClotTriever system: A preliminary experience J Vasc Surg: Venous and Lym Dis 2019; 1-8. | Case Series |