angiovac suction thrombectomy complicated by thrombus fragmentation and distal embolization leading to hemodynamic collapse: A case report

Timothy Del Rosario, Mafdy Basta, Shvetank Agarwal

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Scopus citations

Abstract

A 35-year-old morbidly obese woman with a history of deep vein thrombosis and pulmonary embolism presented for right atrial thrombectomy via AngioVac suction system. A portion of the thrombus could not be suctioned into the AngioVac cannula, leading to fragmentation and distal embolization with hemodynamic collapse. This sequence, observed in real time under transesophageal echocardiography, also demonstrated that the clot had echocardiographic features of chronicity. A well-organized chronic clot may be more difficult to extract via this method, leading to the complication described. With increasing popularity of this less invasive method, further investigation to understand the indications and contraindications is warranted.

Original languageEnglish (US)
Title of host publication100 Selected Case Reports from Anesthesia and Analgesia
PublisherWolters Kluwer Health
ISBN (Electronic)9781975115333
ISBN (Print)9781975115326
DOIs
Publication statusPublished - Jan 1 2018

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ASJC Scopus subject areas

  • Medicine(all)

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