S t r a u b E n d o v a s c u l a r S y s t e m&
S t r a u b E n d o v a s c u l a r To o l sS t r a u b E n d o v a s c u l a r To o l sFor
professional use only
S t r a u b E n d o v a s c u l a r S y s t e mEffect ive debu lk ing in occ luded ar ter ies and ve ins
E f f e c t i v e d e b u l k i n g i n m u l t i p l e i n d i c a t i o n s 1
Detachment up to 1cm/sec.
O n e d e v i c e f o r a c u t e , s u b a c u t e a n d c h r o n i c a r t e r i a l o c c l u s i o n s o f N a t i v e v e s s e l s
S t e n t s ( I n - s t e n t o c c l u s i o n )
N a t i v e a n d a r t i f i c i a l b y p a s s e s
D i a l y s i s a c c e s s
Fo u r f u n c t i o n s i n o n e d e v i c e
Detachment o f the occ lud ing mater ia l f rom the vesse l (up to 1 cm/sec)
Asp i rat ion o f detached mater ia l in to the catheter head
Fragmentat ion o f the asp i ra ted mater ia l
Transpor tat ion out of the pat ient`s body
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+
+
++
1 Freitas B, Steiner S, Bausback Y, Branzan D, Ulrich M, Bräunlich S, Schmidt A, Scheinert D. Rotarex®S Mechanical Debulking in Acute and Subacute Arterial Lesions: Single-Center Experience with 525 Patients. Angiology. 2016 May; 18[3]:233–241.
Rot
a rex
® S 8FRo t
a rex
® S 1 0
F
TM
TM
TM
C a s e r e p o r t Dr. Sven Bräun l i ch , D iakon iekrankenhaus, Ha l le , Germany
CTO left SFA + DCB
8F Rotarex®S 1 70-year o ld pat ient w i th a c laud icat ion for one year of the le f t ca l f, wa lk ing d is t rance of 100 meters . Puncture of the r ight gro in prov ided a c ross-over approach to the SFA occ lus ion wh ich was recana l i sed with a wire intra luminal ly. Several passes with the Rotarex ®S 8F catheter fo l lowed by two DCB demonstrated restored f low. The pat ient remains symptom-f ree a f ter 12 months .
First passage Several passages
After DCB Result after 12 months 1 Data on �le at Straub Medical AG
E f f i c i e n t t h r o m b e c t o m y / e m b o l e c t o m y i n m a n y i n d i c a t i o n s 1
A c u t e o c c l u s i o n s o f Ve i n s
A r t e r i e s
D i a l y s i s a c c e s s
T h r e e f u n c t i o n s i n o n e d e v i c e A s p i r a t i o n o f f r e s h t h r o m b u s a n d e m b o l u s
Fr a g m e n t a t i o n o f a s p i r a t e d m a t e r i a l
Tr a n s p o r t a t i o n o u t o f t h e p a t i e n t ` s b o d y
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Strong & continuous aspiration
1 Lichtenberg M. Improved clinical outcomes – Evidence on mechanical thrombectomy followed by stenting. Results presented LINC 2017.
Asp
i rex
® S 8F
Asp
i rex
® S 6F
Asp
i rex
® S 1 0
F
TM
TM
TM
C a s e r e p o r t Dr. M ichae l L ichtenberg , Karo l inen Hosp i ta l , Arnsberg , Germany
Recana l i zat ion of an acute i l iofemora l deep ve in thrombos is
us ing the Asp i rex ®S 10F catheter 1
41-year-old female with acute painful swelling of the left lower calf for two days. CT venography shows a descending
thrombus from distal inferior vena cava to the level of the left external iliac vein (Figure 1).
Intervention
Access was gained through an antegrade puncture of the
femoral vein under ultrasound guidance. With a 10F sheath
5000 units of heparin were administered. The first angiogram
demonstrated the complete thrombotic occlusion of the left
iliac vein (Figure 2). The external and common iliac veins were
passed with an angled 5F catheter over a stiff guide wire. The
guide wire was then exchanged to a 0.025” guide wire provided
for performing mechanical thrombectomy with the 10F
Aspirex®S system. After 3 passes with the Aspirex®S catheter a
quite effective outflow of the iliac vein (Figure 3) was
restored.
Following thrombectomy, venography demonstrated a
high-grade stenosis of the proximal common iliac vein, a site
typical for May-Thurner syndrome. Pre-dilatation of the
stenosis with a 14 x 60 mm PTA balloon was followed by stent
implantation with a 16 x 20 mm self-expanding venous stent.
Post-dilatation venogram showed optimal stent deployment
and wall apposition (Figure 4).
Post-intervention, vitamin K antagonist was prescribed as an
anticoagulation therapy for a period of 6 months. At the 3
month clinical follow-up the patient presented symptom-free.
Venous outflow was shown to be patent on the treated side
with no in-stent restenosis seen on duplex ultrasound.
Figure 2Figure 1
Figure 4Figure 3
1 Data on �le at Straub Medical AG
DRIVE SYSTEM
T h e s y s t e m f o r a l l R o t a r e x ® S a n d A s p i r e x ® S c a t h e t e r s
S i m p l e s e t u p
H a n d o r f o o t s w i t c h o p e r a t e d
M a g n e t i c c o u p l i n g t o c a t h e t e r
R o b u s t a n d s a f e
++
++
S i m p l e a n d s a f e o p e r a t i o n
S t r a u b E n d o v a s c u l a r T o o l sThe compan ions for your da i ly work
P u l m o n a r y E m b o l i s m P r o t e c t i o n
S e l f - e x p a n d i n g N i t i n o l B a s k e t
I m m e d i a t e r e t r i e v a l a f t e r i n t e r v e n t i o n
+ S e l f - e x p a n d i n g N i t i n o l B a s k e t S e l f - e x p a n d i n g N i t i n o l B a s k e t+ I m m e d i a t e r e t r i e v a l a f t e r i n t e r v e n t i o n I m m e d i a t e r e t r i e v a l a f t e r i n t e r v e n t i o n+
CAPTUREX
P e r i - i n t e r v e n t i o n a l F i l t e r C a t h e t e r
The safety net for
your endovascular interventions
GUIDEWIRE
S h a f t :
N i t i n o l co re w i t h P T F E co a t i n g
T i p :
F l ex i b l e a n d a n g l e d to fa c i l i t a te l e s i o n c ro s s i n g
G o l d - p l a te d t u n g s te n co i l fo r e a s i e r v i s u a l i s a t i o n
H yd ro p h i l i c co a t i n g to re d u ce f r i c t i o n s
++
+
+
T h e w i r e f o r e v e r y d a y
Straub Medical AGStraubstrasse 12CH-7323 WangsSwitzerland
Phone: +4 1 8 1 720 04 60Fax: +4 1 8 1 720 04 6 1E-Mail: [email protected]: www.straubmedical.com ZE
106
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A9
EN
D i s t r i b u te d by
Rotarex®, Aspirex®, Capturex® and Straub® are registered trademarks of Straub Medical AG in several countries. Word marks, picture marks and 3D marks are covered under the Trademark ™.
Rotarex®S TM
REF Catheter Sets Size LengthnumberREF 802 1 9 SET Rotarex®S 6F 1 1 0 cm
REF 80202 SET Rotarex®S 6F 135 cm
REF 80223 SET Rotarex®S 8F 85 cm
REF 80224 SET Rotarex®S 8F 1 1 0 cm
REF 80277 SET Rotarex®S 10F 85 cm
GuidewireREF Dimension Length Tip Flex Hydrophil ic Packagingnumber configuration Tip coatingREF 80270 Guidewire 0.0 1 8 “ 220 cm angled 40 mm 9.5 cm Pack of 5
REF 8027 1 Guidewire 0.0 1 8 “ 270 cm angled 40 mm 9.5 cm Pack of 5
REF 80272 Guidewire 0.0 1 8 “ 320 cm angled 40 mm 9.5 cm Pack of 5
REF 80304 Guidewire 0.025 “ 220 cm angled 60 mm 8.5 cm Pack of 5
REF 80305 Guidewire 0.025 “ 270 cm angled 60 mm 8.5 cm Pack of 5
Drive SystemREF 80300 Drive System
Capturex®
REF 80275 Capturex® SET
S E T i n c l u d es ca t h ete r, g u i d ew i re , s te r i l e d ra p e a n d co l l e c t i n g b a g
S E T i n c l u d es f i l te r ca t h ete r a n d d e l i ve r y s h ea t h
Aspirex®S TM
REF Catheter Sets Size LengthnumberREF 80226 SET Aspirex®S 6F 1 1 0 cm
REF 80227 SET Aspirex®S 6F 135 cm
REF 80229 SET Aspirex®S 8F 85 cm
REF 80230 SET Aspirex®S 8F 1 1 0 cm
REF 80232 SET Aspirex®S 10F 1 1 0 cm
2019
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ight
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