Successful impella-assisted suction thrombectomy of right heart thrombus via the AngioVac device: Advantages, limitations, and alternatives.


Journal

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139

Informations de publication

Date de publication:
01 05 2021
Historique:
revised: 11 01 2021
received: 22 06 2020
accepted: 20 01 2021
pubmed: 13 2 2021
medline: 12 10 2021
entrez: 12 2 2021
Statut: ppublish

Résumé

An elderly man with cardiogenic shock who was found to have a thrombus burden in the right atrium was described. The thrombus was suctioned via the AngioVac device, with assistance from the Impella CP. This is the first reported case of the use of the AngioVac device in conjunction with left-sided mechanical circulatory devices.

Identifiants

pubmed: 33576557
doi: 10.1002/ccd.29545
doi:

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1296-1300

Informations de copyright

© 2021 Wiley Periodicals LLC.

Références

Ugwu J, Hussein U, Alliu S, et al. Percutaneous aspiration of a mobile infected thrombus from the right ventricular outflow tract using the AngioVac system. Case Rep Cardiol. 2019;2019:4.
Worku B, Salemi A, D'Ayala MD, Tranbaugh RF, et al. The Angiovac device: understanding the failures on the road to success. Sage J. 2016;11:430-433.
Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the international cooperative pulmonary embolism registry (ICOPER). Lancet. 1999;353:1386-1389.
Giri J, Sista AK, Weinberg I, et al. Interventional therapies for acute pulmonary embolism: current status and principles for the development of novel evidence: a scientific statement from the American Heart Association. Circulation. 2019;140:e774-e801.
Hameed I, Lau C, Khan FM, et al. AngioVac for extraction of venous thromboses and endocardial vegetations: a meta-analysis. J Card Surg. 2019;34:170-180.
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Kapur N, Esposito M, Bader Y, et al. Mechanical circulatory support devices for acute right ventricular failure. Circulation. 2017;136:314-326.
Dudzinski DM, Giri J, Rosenfield K. Interventional treatment of pulmonary embolism. Circ Cardiovasc Interv. 2017;10:e004345.
Sabri SS, Saad WEA, Turba UC, et al. Percutaneous pulmonary embolectomy: indications, techniques and outcomes. Vasc Dis Manag. 2010;7:E223-E229.
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Premarket Approval (PMA). https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pma.cfm?id=P150024. Accessed September 3, 2020.

Auteurs

Shahrad Shadman (S)

Department of Medicine, University of Maryland Medical System, Capital Region Health, Cheverly, Maryland.

Stephen Heyliger (S)

Colorado Heart and Vascular, Lakewood, Colorado.

Carolyn Watts (C)

Colorado Heart and Vascular, Lakewood, Colorado.

Nima Aghili (N)

Colorado Heart and Vascular, Lakewood, Colorado.

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