A modification of the balloon-catheter technique permits the safe extraction of emboli and thrombi through remote arteriotomy incisions made at sites selected because of accessibility with the patient under local anesthesia and the absence of local calcified plaques. This has been valuable in removing emboli and thrombi from the aorta and the popliteal, axillary, superior mesenteric, and internal carotid arteries. Because of the efficacy of the catheter in removing a propagated thrombus, successful embolectomy and thrombectomy has been accomplished even after a delay of 3 to 21 days. With this improvement in technique, surgery should be considered the preferred form of therapy for acute popliteal and axillarybrachial arterial occlusions.
Chassin JL. Improved Management of Acute Embolism and Thrombosis With an Embolectomy Catheter. JAMA. 1965;194(8):845–850. doi:10.1001/jama.1965.03090210009003