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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Visit the Case Series Review page to watch on-demand videos of physicians showcasing their case experiences using the Pounce™ system.
Lower Extremity — ATK
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Mesenteric
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Lower Extremity — BTK
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Upper Extremity
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Upper Extremity
Removal of Thrombus in Brachial and Ulnar Arteries Via Combined Radial and Femoral Access
Wail E. Asfour, MD, FACC, FSCAI
A male in his early 70s with a history of diabetes mellitus, hypertension, hyperlipidemia, and COVID-19 underwent orthopedic lower back surgery and developed postoperative pain and numbness of the left forearm. The patient was contraindicated for tissue plasminogen activator. On exam, the patient’s forearm was cold and without peripheral pulses.
Pounce Thrombectomy was delivered through femoral access.
Successful Removal of Brachial and Ulnar Artery Thrombus Using the Pounce™ LP Thrombectomy System
Christopher Leville, MD
A man in his late 60s presented to the emergency department with a cold left hand symptomatic for 24 hours. The patient had previously been seen at an outside hospital for open heart surgery, where his radial artery was harvested for the intervention. Beyond his prior open heart surgery, the patient’s medical history included hypertension, hyperlipidemia, and chronic obstructive pulmonary disease. The patient was initially put on aspirin and statin medication and brought into the operating room for further diagnosis.
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
Removal of Mixed-Morphology, Multivessel Lower Extremity Clot With 3 Passes of the Pounce™ Thrombectomy System
Jay Mohan, DO, FACC, FSCAI, FASE, RPVI
A woman in her early 80s presented with approximately 2 weeks of right lower extremity pain with numbness and tingling. Patient history included severe peripheral artery disease, a history of left femoral stent placement, and atrial fibrillation. The patient had been taken off apixaban due to hemorrhoidal bleeding.
Removal of Mid-SFA Thrombus Using the Pounce™ Thrombectomy System
David J. O’Connor, MD, FACS, RPVI
A woman in her mid 70s undergoing treatment for stage IV rectal cancer presented with simultaneous acute pulmonary embolism (PE) with right heart strain and an acute ischemic left lower extremity. Symptoms included shortness of breath, chest pain, and coldness of the left leg.
Pounce Thrombectomy was only used to remove SFA thrombus.
Removal of a Common Femoral Arterial Thrombus with the Pounce™
Thrombectomy System
Venkatesh Ramaiah, MD, FACS
A female patient in her late 80s presented to the hospital with complaints of progressive claudication and rest pain in the left lower extremity. She reported worsening symptoms over the past week, with increased pain during ambulation and decreased ability to perform daily activities. Patient history included diabetes mellitus, atrial fibrillation, hypertension, and known peripheral vascular disease. Physical examination revealed diminished pulses in the left lower extremity, with the left foot observably cooler than the right. No active ischemic changes such as ulcers or gangrene were noted. Patient underwent a duplex ultrasound that confirmed near-total occlusion of the common femoral artery (CFA). Given her worsening symptoms and history, further vascular investigation was warranted.
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
• The indicated vessel range for the Pounce™ Thrombectomy System is 3.5-6 mm.
• The indicated vessel range for the Pounce™ LP Thrombectomy System is 2-4 mm.
Infrapopliteal Revascularization with the Pounce™ Thrombectomy System
Joseph V. Blas, MD, FACS
A female patient in her mid 60s presented to the emergency department with a 5-day history of acute-onset, left lower extremity pain, with left foot pain at rest. Patient history included chronic obstructive pulmonary disease, diabetes mellitus, COVID, end-stage renal disease on peritoneal dialysis, hypercholesterolemia, hypertension, and recent discharge from an inpatient stay for sepsis. A thrombectomy had been performed on the patient 8 weeks earlier to treat a contralateral right popliteal artery occlusion.
Removal of Distal Embolus Using the Pounce™ Thrombectomy System
Joseph V. Blas, MD, FACS
A female patient in her early 50s with a history of bilateral toe amputations was seen by a wound care specialist for a left second toe ulcer. The patient had experienced no recent acute-onset leg or foot pain. Patient history included chronic kidney disease, diabetes mellitus, hyperlipidemia, hypertension, a history of right leg deep vein thrombosis, smoking, and placement of two stents in the aortoiliac segment. Upon 2-week follow-up with wound care, further deterioration of the wound was noted, with no pulses in the affected toe. The patient was referred to vascular surgery.
Successful First Case with the Pounce™ Thrombectomy System to Remove Popliteal and Proximal Tibial Thrombi
Charles DeCarlo, MD
A man in his late 50s presented to the emergency department with 4 weeks of acute-onset, severely limiting short distance claudication in his right lower extremity.
Removal of Below-the-Knee Thrombus with the Pounce™ LP Thrombectomy System
Charles DeCarlo, MD
A man in his mid 60s presented to the emergency department with severe pain in his right foot. Patient history included an above-knee femoropopliteal bypass on the same side 2 years earlier.
Removal of Multifocal Organized Thrombi Using the Pounce™ and Pounce™ LP Thrombectomy Systems
Michael Nagib, MD
A female patient in her mid 70s presented with a 1-day history of left lower extremity pain. The patient reported pain in her left calf and foot that worsened with activity. Patient history included gastric cancer and atrial fibrillation, with cessation of anticoagulation due to upcoming gastrointestinal endoscopy. On physical exam, palpable pulses were found in the right foot and diminished pulses were found in the left foot, the latter intermittently detected via Doppler ultrasound. Motor function and sensation were intact bilaterally, but a temperature difference was observed between the left and the right foot.
Successful Removal of Organized TPT, PT, and AT Thrombus With Two Passes of the Pounce™ Thrombectomy System
Peter Monteleone, MD, FACC, FSCAI
A woman in her early 70s with a medical history of atrial fibrillation and incomplete compliance with her medication presented with sudden onset of a cold leg after 2 days of progressively worsening pain. Although she reported severe pain and tenderness at presentation, she observed no loss of sensation or motor function.
Successful Treatment of Infrapopliteal Arterial Thrombus With the Pounce™ Thrombectomy Platform
Lucas Ferrer Cardona, MD
A male patient presented to the emergency department with immediate onset of numbness and pain in his lower left leg and decreased motor and sensory function. The patient was immediately put on heparin and brought to the operating room.
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.
Intended Use:
The Pounce™ Thrombectomy System is intended for the non-surgical removal of thrombi and emboli from the peripheral arterial vasculature.
Contraindications:
The device is contraindicated for use in patients who cannot receive recommended intravenous anticoagulant therapy.