title: Percutaneous Embolectomy of Serpentine Thrombus from the Right Atrium in a 51-Year-Old Man.
abstract: Treatment of large, fresh thrombi in the vascular system can be challenging. AngioVac, a cardiopulmonary pump system, has been used to remove large thrombi and even some tumors by a percutaneous route. We report here a case of a 51-year-old man who presented with a large thrombus (7.5 × 1.5 cm) in his inferior vena cava, extending into his right atrium and right ventricle. Because the surgical risk was high, we attempted percutaneous embolectomy via the AngioVac aspiration system. We also review the literature concerning this emerging technique.
authors.forename: Soumya
authors.initials: S
authors.lastname: Patnaik
authors.forename: Harish Seetha
authors.initials: HS
authors.lastname: Rammohan
authors.forename: Mahek
authors.initials: M
authors.lastname: Shah
authors.forename: Shivani
authors.initials: S
authors.lastname: Garg
authors.forename: Vincent
authors.initials: V
authors.lastname: Figueredo
authors.forename: Sean
authors.initials: S
authors.lastname: Janzer
authors.forename: Salil
authors.initials: S
authors.lastname: Shah
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D017128:Embolectomy / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013396:Suction; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*
keywords: Thrombectomy/instrumentation/methods; vacuum-assist devices