Open AccessLarge Solid Right Atrial Thrombus Treated by AngioVac Catheter-Based Suction Thrombectomy
Author(s) -
Jacob Gammelgaard Schultz,
Asger Andersen,
Erik Lerkevang Grove,
Lars Bo Ilkjær,
Jens Erik NielsenKudsk
Publication year - 2018
Publication title -
case reports in cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.106
H-Index - 5
eISSN - 2090-6412
pISSN - 2090-6404
DOI - 10.1155/2018/7904064
Subject(s) - medicine , thrombus , embolectomy , catheter , suction , cardiology , pulmonary embolism , surgery , mechanical engineering , engineering
We present the successful treatment of a large solid right atrial thrombus by the catheter-based suction embolectomy system AngioVac® (AngioDynamics, NY, USA). A previously healthy 60-year-old male was referred with acute pulmonary embolism, a large deep vein thrombus and a large right atrial thrombus. After one week of anticoagulation, the size of the atrial thrombus was unaltered, and the patient was treated by catheter-directed embolectomy using the AngioVac system. The solid thrombus occluded the catheter during the procedure. With the vacuum maintained, the occluded catheter was removed from the patient and the thrombus mass was removed. The remaining atrial thrombus was successfully removed by suction after the reinsertion of the catheter. The patient recovered well and was discharged 7 days after the procedure. The therapy was safe and minimally invasive.