Extract blood clots safely, quickly and successfully with cryotechnology in more than 90% of cases.
In several cases, you can extract blood clots rapidly en bloc with cryotechnology.
Avoid the use of a rigid bronchoscope by removing blood clots with an endotracheal and flexible technique.
You can also apply cryoextraction at the bedside for intensive care patients.
You can even perform cryoextraction of blood clots in anticoagulated patients on ECMO.
Application videos
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Blood clot cryoextraction of a large central cast in piecemeal-technique using the 1.7mm probe
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Blood clot cryoextraction – ERS Congress 2021
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Bleeding management after endobronchial recanalization with flexible FiAPC® probe 1500 A
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Hemostasis of tracheobronchial bleeding with APC 2
Scientific information
Medical insights ePaper
Bronchoscopic removal of blood clots in the central airway. Role of cryoextraction for restoring of airway patency.
Blood clot removal can be achieved with different methodologies. However, guidelines as to when to choose which treatment option are not yet present. Flexible bronchoscopy is now the main method used and can be carried out at bedside. Most blood clots can be removed with suction, lavage and flexible forceps. However, these methods include the risk of bleeding and airway trauma and might not be successful due to the fragile structure of blood clots. Rigid bronchoscopy requires general anesthesia and bedside application can be challenging. The use of balloon catheters increases the risk of bronchial injury and mucosa damage, and topical thrombolytic agents pose a risk for rebleeding.
Dr. Erik Hysinger, Assistant Professor in the Department of Pediatrics at Cincinnati Children’s Hospital: Bronchoscopic procedures for pediatric patients and use of cryotechnology for treatment of foreign body aspiration
„My story goes back actually to my residency training. I was very interested in pulmonology and respiratory mechanics and had a lecture to do a procedural month or elected to do a procedural month and went over to the adult hospital at Vanderbilt in Nashville, Tennessee, and did some work with the interventional pulmonology group there. And what I was seeing that they were doing blew my mind. And the ability to be able to see the airway up close and be able to intervene on the airway really piqued my interest and started pursuing that even further in fellowship, doing much more work with pediatrics flexible bronchoscopy.“
Dr. Erik Hysinger, Assistant Professor in the Department of Pediatrics at Cincinnati Children’s Hospital: Debulking granulation tissue using cryotechnology as opposed to other modalities and the role this technology plays for palliation of central airway tumors.
„We were just doing a case of this last week for a young lady who's had really a very difficult time with formation of granulation tissue. The kids that I see granning the most are going to be patients that have long term needs for trachestomies and long term needs for ventilation. That's probably the most common area that we see. And we can see it from anything from suction trauma to problems with the cuffs, creating damage to the tissue or from the tracheal tube itself, rubbing into the mucosa and creating inflammation distally. Another place where we've seen this has been in patients that are having endobronchial stents. Oftentimes similar processes.“
