ABSTRACT
The purpose of the EKOS EndoWave Infusion Catheter System is to enhance catheter-directed
thrombolysis by accelerating the fibrinolytic process with the application of ultrasound.
Improving the efficiency of the thrombolytic process reduces the treatment time and
total lytic dose delivered, thereby lowering the overall cost of therapy and the risk
of an associated bleeding complication.
KEYWORDS
Thrombolysis - ultrasound - catheter - clot - interventional radiology
REFERENCES
- 1
Strandness D E, Langlois Y, Cramer M et al..
Long-term sequelae of acute venous thrombosis.
JAMA.
1983;
250
1289-1292
- 2
Meissner M H, Manzo R A, Bergelin R O et al..
Deep vein insufficiency: the relationship between lysis and subsequent reflux.
J Vasc Surg.
1993;
18
596-605
- 3
Diamond S L, Anand S.
Inner clot diffusion and permeation during fibrinolysis.
Biophys J.
1993;
65
2622-2643
- 4
Francis C W, Blinc A, Lee S et al..
Ultrasound accelerates transport of recombinant tissue plasminogen activator into
clots.
Ultrasound Med Biol.
1995;
21
419-424
- 5
Francis C W.
Ultrasound-enhanced thrombolysis.
Echocardiography.
2001;
18
239-246
- 6
Kudo S.
Thrombolysis with ultrasound effect.
Tokyo Jikeikai Med J.
1989;
104
1005-1012
- 7
Francis C W, Onundarson P T, Carstensen E L et al..
Enhancement of fibrinolysis in vitro by ultrasound.
J Clin Invest.
1992;
90
2063-2068
- 8
Suchkova V, Siddiqi F N, Carstensen E L et al..
Enhancement of fibrinolysis with 40 kHz ultrasound.
Circulation.
1998;
98
1030-1035
- 9
Riggs P N, Francis C W, Bartos S R et al..
Ultrasound enhancement of rabbit femoral artery thrombolysis.
Cardiovasc Surg.
1997;
5
201-207
- 10
Luo H, Nishioka T, Fishbein M C et al..
Transcutaneous ultrasound augments lysis of arterial thrombi in vivo.
Circulation.
1996;
94
775-778
- 11
Tachibana K.
Enhancement of fibrinolysis with ultrasound energy.
J Vasc Interv Radiol.
1992;
3
299-303
- 12
Tachibana K, Tachibana S.
Prototype therapeutic ultrasound emitting catheter for accelerating thrombolysis.
J Ultrasound Med.
1997;
16
529-535
- 13
Shlansky-Goldberg R D, Cines D B, Sehgal C M.
Catheter-delivered ultrasound potentiates in vitro thrombolysis.
J Vasc Interv Radiol.
1996;
7
313-320
- 14
Atar S, Luo H, Nagai T et al..
Arterial thrombus dissolution in vivo using a transducer-tipped, high-frequency ultrasound
catheter and local low-dose urokinase delivery.
J Endovasc Ther.
2001;
8
282-290
- 15
Mahon B R, Nesbit G M, Barnwell S L et al..
North American clinical experience with the EKOS MicroLysUS infusion catheter for
the treatment of embolic stroke.
AJNR Am J Neuroradiol.
2003;
24
534-538
- 16 McNamara T, Parikh S, Motarjeme A et al.. Ultrasound accelerated thrombolysis in
peripheral arterial occlusion: complete lysis rates using the EKOS Lysus system in
the same day setting. Presented at: Transcatheter Cardiovascular Therapeutics October
2005 Abstract 365
- 17
Wissgott C, Richter A, Kamusella P, Steinkamp H J.
Treatment of critical limb ischemia using ultrasound-enhanced thrombolysis (PARES
Trial): final results.
J Endovasc Ther.
2007;
14
438-443
- 18
Ouriel K, Veith F J, Sasahara A A.
A comparison of recombinant urokinase with vascular surgery as initial treatment for
acute arterial occlusion of the legs.
N Engl J Med.
1998;
338
1105-1111
- 19
Raabe R A.
Ultrasound-facilitated thrombolysis in treating DVT.
Endovascular Today.
2006;
5
75-79
- 20
Mewissen M W, Seabrook G R, Meissner M H et al..
Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report
of a national multicenter registry.
Radiology.
1999;
211
39-49
- 21
Motarjeme A.
Ultrasound-enhanced thrombolysis.
J Endovasc Ther.
2007;
14
251-256
Charles A OwensM.D.
Division of Interventional Radiology (M/C 931), University of Illinois Medical Center
1740 West Taylor Street, Chicago, IL 60612
Email: cowens@uic.edu