Single-Center Experience Using AngioVac with Extracorporeal Bypass for Mechanical Thrombectomy of Atrial and Central Vein Thrombi

详细信息    查看全文

• 作者：Scott A. Resnick ; MD^a ; ^{sresnick@northwestern.edu" class="auth_mail" title="E-mail the corresponding author} ; Dan O&rsquo ; Brien ; BS^a ; David Strain ; MD^a ; Chris Malaisrie ; MD^b ; Daniel Schimmel ; MD^c ; Riad Salem ; MD ; MBA^a ; Robert Vogelzang ; MD^a
• 关键词：CFV ; common femoral vein ; IJV ; internal jugular vein ; IVC ; inferior vena cava ; PA ; pulmonary artery ; PE ; pulmonary embolus ; RA ; right atrium ; TEE ; transesophageal echocardiography ; TIPS ; transjugular intrahepatic portosystemic shunt
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：27
• 期：5
• 页码：723-729.e1
• 全文大小：1232 K

文摘

The AngioVac device (AngioDynamics, Inc, Queensbury, New York), a commercially available large-diameter aspiration cannula using extracorporeal venovenous bypass, is designed to facilitate en bloc mechanical thrombectomy of massive thrombi of the central vasculature. Between February 2014 and January 2015, seven consecutive patients, each presenting with large central thrombi of the iliac veins, vena cava, right atrium, or pulmonary artery, underwent thrombectomy. Partial or complete clot abatement was achieved in all instances. All patients survived the procedure. One case was complicated by embolization of septic thrombi. At most recent follow-up, one patient had died of causes unrelated to venous thrombosis; all other patients were living (median follow-up time 8 mo). Several technical and therapeutic insights were gained from our center’s early experience.