The Prevalence of Cardiovascular Complications and Causes of AngioJet Failure: A Post-Marketing Surveillance Study Based on the MAUDE (Manufacturer and User Facility Device Experience) Database

Authors

Chaitu Dandu
Dhruvil Patel
Ryan Naughton
Neel Patel
Bandar Alyami
Maria Najam, The University of Texas Rio Grande Valley
Mustafa Bdiwi
Rashid Alhusain
Yasar Sattar
M. Chadi Alraies

Document Type

Article

Publication Date

8-2023

Abstract

Background and objective

Aspiration thrombectomy devices, such as the AngioJet Solent Omni (Boston Scientific Corporation, Marlborough, MA) have been approved by the US FDA for the treatment of thrombi in peripheral arterial disease, venous disease, and AV fistulas. However, there is a dearth of real-world data on the most common modes of failure and complications associated with the AngioJet Solent Omni. In this study, we aimed to address this scarcity of data.

Methods

The MAUDE (Manufacturer and User Facility Device Experience) database was queried for reports of device failure and adverse events spanning the period from October 2012 to December 2021.

Results

A total of 499 events were reported during the study period. After the exclusion of duplicate reports, the final analysis included 450 reports. The most common mode of failure was catheter breakage/kinking during suction thrombectomy with 137 reports (30%). The most common vessel associated with events was the superficial femoral artery or vein, which was documented in 82 reports (18.2%). The most common adverse clinical outcome was the embedding of a piece of the device in the patient, which occurred in seven reports (1.6%). There were seven (1.6%) events of death reported during the period studied.

Conclusions

Based on our findings, the AngioJet Solent Omni device provides promising results; however, it is important to evaluate device safety. It is associated with complications including device embedment, catheter breakage/kinking, and death, and these adverse events are linked to patient characteristics and risk factors.

Comments

© Copyright 2023 Dandu et al

Recommended Citation

Dandu, C., Patel, D., Naughton, R., Patel, N. N., Alyami, B., Najam, M., ... & Naughton, R. (2023). The Prevalence of Cardiovascular Complications and Causes of AngioJet Failure: A Post-Marketing Surveillance Study Based on the MAUDE (Manufacturer and User Facility Device Experience) Database. Cureus, 15(8). doi.org/10.7759/cureus.42824

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Publication Title

Cureus

DOI

10.7759/cureus.42824

Academic Level

faculty

Mentor/PI Department

Internal Medicine