Left atrial Lasso catheter thrombus aspiration.
Sheath- and catheter-associated thrombi have become increasingly identified with the use of intracardiac echocardiography during left-sided ablation procedures. Despite adequate anticoagulation, these thrombi are found in ∼10% of cases. Management of these thrombi includes withdrawal of the sheath and catheter when the thrombi are felt to be firmly attached. In our case, we show another management technique, aspiration.
Sorajja
Dan
D
Division of Cardiovascular Diseases, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ, USA.
Bhakta
Mayurkumar D
MD
Altemose
Gregory T
GT
D001281:Atrial Fibrillation / Q000188:drug therapy / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D003328:Coronary Thrombosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013396:Suction / Q000379:methods; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use
D017984:Enoxaparin; D014859:Warfarin