Pounce™ Thrombectomy System
Case Reports

The Pounce™ Thrombectomy System is redefining arterial thrombi and emboli removal from the peripheral arterial vasculature without the use of aspiration or capital equipment.

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Lower Extremity — BTK
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Lower Extremity — ATK
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Upper Extremity
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Upper Extremity

Novel Use of the Pounce™ Thrombectomy Device for Acute Left Axillary Artery Thrombosis

Joseph Campbell, MD

A 71-year-old woman with a prior medical history of hypertension, hyperlipidemia, type 2 diabetes, and obstructive sleep apnea developed an abrupt onset of ischemic rest pain and numbness in her left hand and fingers. The emergency department obtained a CTA, which revealed a proximal axillary artery stenosis with a moderate amount of proximal and large distal thrombus. She was started on intravenous heparin and prepped for a diagnostic intervention.

Successful Removal of Brachial Embolus With the Pounce™ Thrombectomy System

J. Michael Bacharach, MD, FACC, FSCAI, MPH
and Thekla Bacharach, MD

After discontinuation of anticoagulation for a dental procedure, an 84-year-old woman with a history of chronic atrial fibrillation developed sudden onset of a cold, painful right upper extremity. She was transferred from the neighboring community hospital and was immediately administered heparin.

Mesenteric

Successful Removal of an SMA Embolus With the Pounce™ Thrombectomy System

Nate Mohr, MD and Dennis Fry, MD

A 71-year-old man presented to the emergency department (ED) complaining of ongoing abdominal pain. Two days prior, he had visited the ED for a CT scan complaining of acute onset of abdominal pain in the morning. The CT scan was read as diverticulitis, and the patient was sent home on antibiotics. However, his symptoms continued to worsen, marked by increased bloating, abdominal distention, chills, and diarrhea, compelling him to seek urgent medical attention again.

Lower Extremity - ATK

Successful Removal of Acute and Organized SFA Thrombus in One Pass With the Pounce™ Thrombectomy System

Vince Weaver, MD

A 45-year-old man presented with sudden left leg pain that had persisted for 1 week. The patient had a prior history of embolic and thrombotic events, including left common femoral artery (CFA) bifurcation embolus requiring open embolectomy and, 1 year later, percutaneous thrombectomy of the ostium of the superficial femoral artery (SFA).

Successful Removal of Organized Thrombus With the Pounce™ Thrombectomy System After Failed Pharmacomechanical Treatment

Vince Weaver, MD

A 53-year-old man presented with 2-week onset of rest pain. Noninvasive studies suggested occlusive thrombus disease throughout the SFA and popliteal artery. The initial angiogram confirmed organized thrombus throughout the SFA and popliteal arteries.

Successful Removal of 20 cm SFA Thrombus with Pounce™ Thrombectomy System

J. Michael Bacharach, MD, FACC, FSCAI, MPH

A 52-year-old female presented to the emergency department with a cold and painful lower left leg. The pain started suddenly six days prior to presentation. Her past medical history included chronic lung disease. She was admitted to the hospital, started on intravenous heparin, and deemed to be a candidate for an angiogram.

Successful Removal of Bilateral Embolization Using the Pounce™ Thrombectomy System

Bruce H. Gray, DO, MSVM

A 44-year-old woman who worked as a mail carrier presented with a 4-week history of claudication. She had no risk factors for atherosclerosis, was in normal sinus rhythm, and had no history of medical illness.

Treatment of Focal Arterial Embolus With Stand-Alone Mechanical Thrombectomy

John A. Phillips, MD

An 82-year-old woman presented with symptoms of acute-onset pain and paresthesia. The patient’s initial vascular exam was abnormal. The patient had a complex prior medical history, including chronic kidney disease, atrial fibrillation, heart failure with preserved ejection fraction, type 2 diabetes, hypertension, and dyslipidemia.

Lower Extremity - BTK

Successful Removal of Chronic Thromboembolic Debris Using the Pounce™ Thrombectomy System

Sara McCann, MD

A 69-year-old patient with a history of metastatic lung cancer and mitral valve vegetations had presented previously to the hospital with acute left lower extremity ischemia. At that time, the patient was found to have a nearly complete left common iliac artery occlusion on a CTA, whereupon the physicians attempted pharmacomechanical thrombectomy. There was subsequent embolization, which was treated with aspiration thrombectomy and a short course of antiplatelet medication (Brilinta®, AstraZeneca). Unfortunately, 6 days after this first intervention, the distal popliteal artery reoccluded, and the patient presented back to the hospital.

Successful Treatment of Infrapopliteal Thromboembolic Arterial Occlusion with the Pounce™ Thrombectomy System

Dean Ferrera, DO, FACC, FSCAI

A 75-year-old man presented to the hospital with pain and paresthesia of his right foot. Symptoms started 1 day prior to his arrival at the hospital. Evaluation in the emergency department led to the diagnosis of new-onset atrial fibrillation with evidence of thromboembolism to the right lower extremity by duplex ultrasonography. He was immediately started on metoprolol, aspirin, and heparin and was brought to the cath lab for angiography.

Successful Removal of a Popliteal Embolus Using the Pounce™ Thrombectomy System Following Attempted Aspiration Thrombectomy

Brett Voigt, MD

A 73-year-old male presented to the clinic with a 2-day history of left calf pain and numbness in his foot. His history included smoking and hypertension but no known peripheral artery disease and no medication.

Successful Treatment of Acute Limb Ischemia and Removal of Acute Popliteal and Anterior Tibial Thrombus Using the Pounce™ Thrombectomy System

Neel Anand Mansukhani, MD

At approximately 2:00 am, a 69-year-old female patient arrived with a sudden onset of pain, paresthesia, numbness, and compartment syndrome in her lower extremities. On arrival at the Emergency Room, she exhibited signs of acute limb ischemia with pain, weakness, and no doppler signals, prompting administration of heparin and a swift transfer to the operating room for further evaluation.

Efficient Removal of Lower Extremity Arterial Thrombus With the Pounce™ Thrombectomy System

Joseph Griffin, MD, RVT, FACS

A 46-year-old woman with borderline hypertension and diabetes noticed her right leg suddenly became cold and numb and caused her to fall to the ground while walking. She immediately called an ambulance and was brought to the hospital.