1205_DeRubertis.pdf

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1、Session III:Chronic Limb-Threatening IschemiaPros and Cons of Thrombectomy Devices:How Do I Choose?New York Endovascular SummitSeptember 11-13,2025Brian G.DeRubertis,MD,FACSLeon C.Hirsch Professor of SurgeryChief,Division of Vascular&Endovascular SurgeryNew York Presbyterian Weill Cornell MedicineDi

2、sclosure Statement of Financial InterestAbbott VascularWithin the past 12 months,I have had a financial interest/arrangement or affiliation with the organization(s)listed below.Affiliation/Financial RelationshipCompanyNational PI LIFE BTKScientific Advisory BoardConsulting agreementSpeakers fees/Hon

3、orariumMedtronicScientific Advisory BoardConsulting agreementSpeakers fees/HonorariumBoston ScientificScientific Advisory BoardConcept MedicalNational PI Magical BTKConsulting agreement BD/BardConsulting agreementScientific Advisory BoardVIVA FoundationMember,Board of TrusteesCurrently Available Thr

4、ombectomy Devices:How Do We Choose?Clinical Need for Thrombectomy Devices:Acute limb ischemia due to embolus(ie.cardiogenic cause)Acute limb ischemia due to acute thrombosis in setting of chronic disease New abrupt onset of claudication/rest pain Intra-operative thrombotic complications Intra-operat

5、ive embolic complications(ie.atheroma)Currently Available Thrombectomy Devices:How Do We Choose?Palpable Contralateral PulsesKnown Embolic SourceNo Previously h/o PADCFA/Fempop Occl with Preserved Distal RunoffEmbolectomyPrior Claudication or Known PADAtherosclerotic Risk FactorsAbnormal Contralater

6、al Pulse ExamDuplex or CTAAbsent Runoff or Evidence of Chronic PADDiagnostic AngioIdentifiable Bypass TargetAbsence of Bypass TargetPRESENTATIONSurgical BypassLysis or PMTAcute Limb Ischemia:Implications of PresentationCurrently Available Thrombectomy Devices:How Do We Choose?Fogarty TJ,Cranley JJ,K