DEVICE GUIDE > Mechanical Thrombectomy/Thrombolysis

Company Name Product Name Sheath Size (F) Guidewire (inch) Working Length (cm) Mode of Operation US FDA Indicated Use
Argon Medical Devices, Inc. Cleaner 15 7 65, 135 Battery-operated, handheld drive unit initiates the mechanical rotation of an atraumatic, wall-contacting, 15-mm sinusoidal vortex wire for effective thrombus maceration Indicated for mechanical declotting and controlled and selective infusion of physician-specified fluids, including thrombolytics, in the peripheral vasculature; also indicated for mechanical declotting of native vessel dialysis fistulas and synthetic dialysis access grafts
Argon Medical Devices, Inc. Cleaner XT 6 65, 135 Battery-operated, handheld drive unit initiates the mechanical rotation of an atraumatic, wall-contacting, 9-mm sinusoidal vortex wire for effective thrombus maceration Indicated for mechanical declotting and controlled and selective infusion of physician-specified fluids, including thrombolytics, in the peripheral vasculature; also indicated for mechanical declotting of native vessel dialysis fistulas and synthetic dialysis access grafts
Boston Scientific Corporation AngioJet AVX Thrombectomy Catheter 6 0.035 50 High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal Breaking apart and removing thrombus from AV access conduits ≥ 3 mm in diameter
Boston Scientific Corporation AngioJet Solent Dista Thrombectomy Catheter 4 0.014 145 High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal Breaking apart and removing thrombus from upper and lower extremity peripheral arteries ≥ 1.5 mm in diameter and for use with the AngioJet Ultra Power Pulse Kit for the control and selective infusion of physician specified fluids, including thrombolytic agents, into the peripheral vascular system
Boston Scientific Corporation AngioJet Solent Omni Thrombectomy Catheter 6 0.035 120 High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal Breaking apart and removing thrombus from upper and lower extremity peripheral arteries, upper extremity peripheral veins, iliofemoral and lower extremity peripheral veins ≥ 3 mm in diameter, and for use with the AngioJet Ultra Power Pulse Kit for the control and selective infusion of physician specified fluids, including thrombolytic agents, into the peripheral vascular system
Boston Scientific Corporation AngioJet Solent Proxi Thrombectomy Catheter 6 0.035 90 High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal Breaking apart and removing thrombus from upper and lower extremity peripheral arteries, upper extremity peripheral veins, iliofemoral and lower extremity peripheral veins ≥ 3 mm in diameter, and for use with the AngioJet Ultra Power Pulse Kit for the control and selective infusion of physician specified fluids, including thrombolytic agents, into the peripheral vascular system
Boston Scientific Corporation AngioJet Solent ZelanteDVT Thrombectomy Catheter 8 0.035 105 High-velocity water jets enclosed in catheter utilize the Bernoulli principle for capture, microfragmentation, and removal Breaking apart and removing thrombus from upper and lower extremity peripheral veins, iliofemoral and lower extremity peripheral veins ≥ 6 mm in diameter and for use with the AngioJet Ultra Power Pulse Kit for the control and selective infusion of physician specified fluids, including thrombolytic agents, into the peripheral vascular system
Codman Neuro (Johnson & Johnson) Revive PV Peripheral Vascular Thrombectomy Device 5 or larger 205 Mechanical thrombectomy with aspiration The nonsurgical removal of emboli and thrombi from peripheral blood vessels
Control Medical Technology Aspire Mechanical Thrombectomy Drive Unit Mechanical thrombectomy drive unit, continuous and/or pulsed mechanical thrombectomy A high-performance thrombectomy pump and drive unit to improve thrombectomy performance
Ekos Corporation, a BTG International group company EkoSonic Endovascular System 6 0.035 106 catheter length; treatment areas: 6, 12, 18, 24, 30, 40, 50; 135 catheter length; treatment areas: 12, 30, 40, 50 The treatment offers a minimally invasive system for the acceleration of thrombus dissolution; the ultrasonic core generates a localized acoustic field that targets the entire thrombus; this greatly accelerates lytic dispersion by driving the drug deeper into the clot and unwinding the fibrin to expose plasminogen receptor sites Indicated for the ultrasound-facilitated, controlled, and selective infusion of physician-specified fluids, including thrombolytics, into the vasculature for the treatment of pulmonary embolism; the controlled and selective infusion of physician-specified fluids, including thrombolytics, into the peripheral vasculature; and the infusion of solutions into the pulmonary arteries; Instructions for Use, including warnings, precautions, potential complications, and contraindications can be found at www.btg-im.com/ekos; Caution: Federal (USA) law restricts these devices to sale by or on the order of a physician
Medtronic Mindframe Capture LP Revascularization Device 3 X 15, 3 X 23, 4 X 15, 4 X 23 8, 9 (balloon guide) 0.010 178 (Capture push wire) Compatible with a catheter in the 10/14 class. It is designed to navigate, access, and treat distal zone occlusions, and has distal and proximal markers for accurate positioning and a proprietary cell geometry that minimizes deformation and maximizes entrapment Indicated for endovascular temporary use in patients with acute ischemic stroke and to restore blood flow in patients who are experiencing symptoms of an acute ischemic stroke caused by an embolus in a cerebral vessel
Medtronic Solitaire 2 Revascularization Device 4 X 15, 4 X 20, 4 X 40, 6 X 20, 6 X 30 8, 9 (balloon guide) 0.014 180 (Solitaire push wire) Designed to restore blood flow in patients experiencing ischemic stroke due to large intracranial vessel occlusion and for use in the neurovasculature, such as the internal carotid artery, M1 and M2 segments of the middle cerebral artery, basilar, and the vertebral arteries Indicated for use to restore blood flow in the neurovasculature by removing thrombus for the treatment of acute ischemic stroke to reduce disability in patients with a persistent, proximal anterior circulation, large vessel occlusion, and smaller core infarcts who have first received IV tPA; endovascular therapy with the device should be started within 6 hours of symptom onset; indicated to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset; patients who are ineligible for IV tPA or who fail IV tPA therapy are candidates for treatment
Medtronic Solitaire Platinum Revascularization Device 4 X 20, 4 X 40, 6 X 20 8, 9 (balloon guide) 0.014 180 (Solitaire push wire) Designed to restore blood flow in patients experiencing ischemic stroke due to large intracranial vessel occlusion and for use in the neurovasculature, such as the internal carotid artery, M1 and M2 segments of the middle cerebral artery, basilar, and the vertebral arteries Indicated for use to restore blood flow in the neurovasculature by removing thrombus for the treatment of acute ischemic stroke to reduce disability in patients with a persistent, proximal anterior circulation, large vessel occlusion, and smaller core infarcts who have first received IV tPA; endovascular therapy with the device should be started within 6 hours of symptom onset; indicated to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset; patients who are ineligible for IV tPA or who fail IV tPA therapy are candidates for treatment
Penumbra, Inc. (Neurovascular) 3D Revascularization Device 6 (long sheath [Neuron MAX]) 0.020 200 (delivery wire; compatible with Velocity Delivery microcatheter [160 cm] and 3MAX Reperfusion catheter [153 cm]) Designed to successfully treat large vessel occlusion in combination with Ace Reperfusion catheters; the architecture provides maximum clot capture capability through four intraluminal chambers and is optimized for use with aspiration delivered by Ace catheters Indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid and middle cerebral [M1 and M2 segments] within 8 hours of symptom onset; patients who are ineligible for IV tPA or who fail IV tPA therapy are candidates for treatment
Penumbra, Inc. (Neurovascular) Penumbra System Reperfusion Catheter ACE, 5MAX, 4MAX, 3MAX, 026 6 (ACE and 5MAX require 8-F short sheath or 6-F long sheath) 0.014–0.016 132, 139, 150, 153 (reperfusion catheter lengths) Direct aspiration clot removal with ADAPT technique Intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease within 8 hours of symptom onset
Penumbra, Inc. (Neurovascular) Penumbra System Separator and Separator Flex 5MAX, 4MAX, 3MAX, 026 175–200 (Separator and Separator Flex length) Separator-assisted clot debulking, if needed Intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease within 8 hours of symptom onset
Penumbra, Inc. (Peripheral Vascular) Indigo System Catheter CATD,CAT8, CAT6, CAT5, and CAT3 6 (CAT6, CAT5), 8 (CATD, CAT8) 0.014–0.038 50–150 Separator-assisted mechanical extraction of thrombus/debris with constant vacuum aspiration. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower extremities, including below the knee Intended for the removal of fresh, soft emboli, and thrombi from vessels of the peripheral arterial and venous systems
Penumbra, Inc. (Peripheral Vascular) Indigo System Separator SEPD, SEP8, SEP6, SEP5 and SEP3 90–190 The device is advanced and retracted through the CAT catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the catheter tip Intended for the removal of fresh, soft emboli, and thrombi from vessels of the peripheral arterial and venous systems
Stryker Trevo XP ProVue Retriever 3 X 20 mm, 4 X 20 mm, 4 X 30 mm, 6 X 25 mm 8, 9 (BGC) 0.014 150 (TrevoPro 18 microcatheter effective length); 180 (Trevo XP delivery wire) Mechanical thrombectomy; a fourth generation stent retriever; tubular with 360° of large cells, designed to integrate and capture clot; it is also fully visible under fluoroscopy to allow the physician visual placement and strut interaction with the clot Indicated for use to restore blood flow in the neurovasculature by removing thrombus for the treatment of acute ischemic stroke to reduce disability in patients with a persistent, proximal anterior circulation, large vessel occlusion, and smaller core infarcts who have first received IV tPA; endovascular therapy with the device should start within 6 hours of symptom onset; Intended to restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke within 8 hours of symptom onset; patients who are ineligible for IV tPA or who fail IV tPA therapy are candidates for treatment
Teleflex Arrow-Trerotola OTW PTD 7 0.025 65, 120 Battery-operated handheld unit rotates unique 9-mm fragmentation basket at 3,000 rpm, macerating clot to < 2 mm; basket can be deployed/withdrawn within catheter; deployed basket can be used to pull arterial plug Permits mechanical declotting of native arterio/venous fistula synthetic dialysis grafts in conjunction with the Arrow Rotator Drive Unit (PT-03000-R)
Teleflex Arrow-Trerotola PTD 5 65 Battery-operated handheld unit rotates unique 9-mm fragmentation basket at 3,000 rpm, macerating clot to < 2 mm; basket can be deployed/withdrawn within the catheter; deployed basket can be used to pull the arterial plug Permits mechanical declotting of native arterio/venous fistula and synthetic dialysis grafts in conjunction with the Arrow Rotator Drive Unit (PT-03000-R)
Walk Vascular, LLC Jeti 8 0.010–0.038 (OTW) or none 100 Internal saline jet just within the catheter tip and aspiration To break up and remove thrombus and soft emboli

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