title: Percutaneous Removal of Filter-Induced Iliocaval Thrombus Using the AngioVac Device.
abstract: Most percutaneous mechanical thrombectomy devices entail thrombolysis and/or thrombus fragmentation followed by subsequent aspiration, with the associated risks of bleeding and embolization. We describe the use of the AngioVac system (Angiodynamics, Latham, NY USA) for extraction of extensive iliocaval thrombus associated with an inferior vena cava filter followed by percutaneous inferior vena cava filter extraction in a patient with an absolute contraindication to thrombolysis. The AngioVac may be considered in this scenario as it does not require thrombolytics and can remove whole thrombus, thus overcoming some of the limitations of percutaneous mechanical thrombectomy devices in the setting of subacute and early chronic thrombus.
authors.affiliation: From the *Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY USA; †Department of Cardiothoracic Surgery, New York Methodist Hospital, Brooklyn, NY USA; and ‡Department of Radiology, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY USA.
authors.forename: Berhane
authors.initials: B
authors.lastname: Worku
authors.forename: Kyle
authors.initials: K
authors.lastname: Blake
authors.forename: Iosif
authors.initials: I
authors.lastname: Gulkarov
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Sista
authors.forename: Arash
authors.initials: A
authors.lastname: Salemi
mesh_terms: D002404:Catheterization / Q000295:instrumentation; D006801:Humans; D007084:Iliac Vein / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017131:Thrombectomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D013927:Thrombosis / Q000601:surgery*; D015898:Tomography Scanners, X-Ray Computed; D016896:Treatment Outcome; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery; D020246:Venous Thrombosis / Q000150:complications* / Q000601:surgery