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Argon CLEANER 15 Bedienungsanleitung Seite 6

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  • DEUTSCH, seite 109
13. With the device activated, slowly withdraw the rotating sinuous wire along
the treatment site while infusing therapeutic agent through the infusion port
to break up the clot. Warning: A withdrawal rate of 1-2 cm/second is
recommended when sharp radii are encountered. When the sinuous
wire reaches the tip of the venous sheath, release the switch to turn off the
rotating dispersion wire.
14. Cover the device and remove it from the peripheral vasculature. Flush the
catheter lumen with heparinized saline and manually remove any
accumulated fibrin from the sinuous wire.
15. Aspirate the macerated clot via the sheath and discard the aspirate.
Precaution: Continued unsuccessful aspiration may collapse the
sheath and vessel.
16. Inject a small amount of contrast via the venous sheath to assess the
degree of thrombus removal accomplished. Warning: Avoid over-
injection of contrast to minimize the risk of embolization. Treat the
residual thrombus by repeating steps 11-15 until acceptable thrombus
removal is achieved.
17. When the thrombus removal is complete, treat any underlying disease or
stenosis per hospital protocol.
18. Perform the final angiogram.
19. Remove the sheaths from the peripheral vasculature.
20. Achieve hemostasis at the puncture site(s) per hospital protocol.
Peripheral Vasculature
6

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