1215_Ducasse.pdf

1、11-13 December 2025Carrousel du Louvre,Paris#PVI25OPEN thrombectomy:is there a role,when and why?E Ducasse,X Brard,C CaraduUnit of vascular&endovascular surgeryStatement of financial interest2I currently have,or have had over the last two years,an affiliation or financial interests or interests of a

2、ny order with a company or I receive compensation or fees or research grants with a commercial company:Speakers name:Pr Eric DucasseI currently have no conflict of interest for this presentationRECOMMENDATIONS3RECOMMENDATIONS-Flow chart4OPEN THROMBECTOMY:IS THERE A ROLE?YES!Or you are mad and outsid

3、eOf the recommendations!CONTEXT ALI is always an emergency!The strategy employed will depend on a number of factors,including the expertise and facilities of the treating team In a study of the Swedvasc registrycomprising 16 229 patients who underwentrevascularisation for native artery ALI the cause

4、 for limb ischaemia was:-embolic in 44%-thrombotic in 53%-popliteal artery aneurysm in 3%.5Grip O,Br J Surg 2018;105Our team experience Endovascular aspiration device:Penumbra Qualities Easy to use Efficient on fresh thrombus Improvement in devices Disavantages Costly+Only for fresh thrombus+Time co

5、nsuming!6Our team experience Endovascular aspiration device:Rotarex Qualities Efficient for fresh+mid fresh thrombus+/-easy to use Disavantages Costly+Time consuming+Limited by calcified and stented lesions+7Our team experience Endovascular devices for thrombus aspiration Very selective cases:limite

6、d fresh thrombus In association with adjunctive treatment:PTA,stentingopen surgery Costly and time consuming Surgical thrombectomy easy to use and efficient Money saver Under GA In addition with surgical procedure for inflow and outflow In