Author/Authors :
Schultz, Jacob Department of Cardiology - Aarhus University Hospital, Denmark , Andersen, Asger Department of Cardiology - Aarhus University Hospital, Denmark , Lerkevang Grove, Erik Department of Cardiology - Aarhus University Hospital, Denmark , Ilkjær, Lars Bo Department of Cardiothoracic and Vascular Surgery - Aarhus University Hospital, Denmark , Nielsen-Kudsk, Jens Erik Department of Cardiology - Aarhus University Hospital, Denmark
Abstract :
We present the successful treatment of a large solid right atrial thrombus by the catheter-based suction embolectomy system
AngioVac® (AngioDynamics, NY, USA). A previously healthy 60-year-old male was referred with acute pulmonary embolism,
a large deep vein thrombus and a large right atrial thrombus. After one week of anticoagulation, the size of the atrial
thrombus was unaltered, and the patient was treated by catheter-directed embolectomy using the AngioVac system. The solid
thrombus occluded the catheter during the procedure. With the vacuum maintained, the occluded catheter was removed from
the patient and the thrombus mass was removed. The remaining atrial thrombus was successfully removed by suction after
the reinsertion of the catheter. The patient recovered well and was discharged 7 days after the procedure. The therapy was
safe and minimally invasive.
