Use of simultaneous angioplasty and in situ thrombolysis with a specialized balloon catheter for peripheral interventions.

The treatment of acute limb ischemia is always challenging. Various techniques including balloon angioplasty, rheolytic thrombectomy, and prolonged localized infusion of thrombolytics are often used to achieve revascularization. However, some patients with suboptimal angiographic results may benefit from novel alternatives such as the Clearway irrigation balloon (Atrium, Hudson, NH, USA). This device allows simultaneous low-pressure balloon angioplasty and delivery of thrombolytics in situ in patients with arterial or venous thrombosis. This strategy may improve the acute angiographic results in complex acute limb ischemia cases.