Portal Vein Thrombosis / TIPS Treated by Matt Gipson, MD

On March 10, Matt Gipson, MD, performed a thrombectomy procedure on a 69 year-old male.

Patient Notes:

•Presented to the ER with Portal Vein Thrombosis, Bacteremia, Metastatic CA, Cirrhosis, Hypertension

•Pre-Portal Vein Pressure 24 mm hg| Post-Portal Vein Pressure 19 mm hg

•Positioned supine under general anesthesia

•R. IJ access with 10F sheath for IVUS

•Hepatic Vein Accessed, TIPS placed

•R. IJ Access 22F GDS

•260cm Amplatz Super-Stiff™ placed distal to Portal Vein Thrombus

•Triever16 tracked over Amplatz™ from Hepatic Vein to Portal Vein via TIPS.

•4 “WHOOSH” aspirations removed Portal Vein Thrombus

•10 minutes of device time

•Minimal Air Kerma -321mGy

•Minimal Contrast Load-45cc

•Negligible EBL using FlowSaver™ blood return system

•FlowStasis™ for Hemostasis

RIA Endovascular physicians work with Inari Medical to bring state of the art procedures to our patients. Historically, arterial devices to remove clots have required the patient to receive blood thinners. The FlowTriever® and ClotTriever® were designed as a tool to remove clot while not requiring patients to receive these blood thinners. This puts the patient at less risk of bleeding, while still accomplishing the task of removing blood clots.

The benefits of these technologies are:

No capital equipment is needed

No procedure related ICU stay is required

Elimination of thrombolytics (blood thinners) and associated bleed risks

Single Session treatment option

The ClotTriever® Thrombectomy System is indicated for: The non-surgical removal of soft thrombi and emboli from blood vessels. Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

The FlowTriever® Retrieval/Aspiration 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® Retrieval/Aspiration System is intended for use in the peripheral vasculature and for the treatment of pulmonary embolism.

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For more information on thrombectomy procedures with Inari go here: riaendovascular.com/2019/09/03/ria-interventional-radiologists-first-in-co-to-offer-inari-procedures.