Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device

Introduction. Large thrombi in the inferior vena cava pose a high risk for a pulmonary embolism. Percutaneous extracorporeal circulation-based vacuum-assisted thrombus aspiration is a viable option for removal. Wall adherence of thrombotic material can compromise procedural success. Case Report. A 4...

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Main Authors: Julius Kaemmel, Roland Heck, Pia Lanmüller, Volkmar Falk, Christoph Starck
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2023/5178998
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author Julius Kaemmel
Roland Heck
Pia Lanmüller
Volkmar Falk
Christoph Starck
author_facet Julius Kaemmel
Roland Heck
Pia Lanmüller
Volkmar Falk
Christoph Starck
author_sort Julius Kaemmel
collection DOAJ
description Introduction. Large thrombi in the inferior vena cava pose a high risk for a pulmonary embolism. Percutaneous extracorporeal circulation-based vacuum-assisted thrombus aspiration is a viable option for removal. Wall adherence of thrombotic material can compromise procedural success. Case Report. A 46-year-old female presented with a subtotal thrombotic occlusion of the inferior vena cava and the proximal right common iliac vein after weaning from extracorporeal life support. Due to severe wall adherence of the thrombotic material, the patient was treated with the combination of percutaneous extracorporeal circulation-based thrombus aspiration using the AngioVac system and a rotational thrombectomy device.
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series Case Reports in Vascular Medicine
spelling doaj-art-e3ce180e3715488d83499b0148276fae2025-02-03T05:48:40ZengWileyCase Reports in Vascular Medicine2090-69942023-01-01202310.1155/2023/5178998Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy DeviceJulius Kaemmel0Roland Heck1Pia Lanmüller2Volkmar Falk3Christoph Starck4Department of Cardiothoracic and Vascular SurgeryDepartment of Cardiothoracic and Vascular SurgeryDepartment of Cardiothoracic and Vascular SurgeryDepartment of Cardiothoracic and Vascular SurgeryDepartment of Cardiothoracic and Vascular SurgeryIntroduction. Large thrombi in the inferior vena cava pose a high risk for a pulmonary embolism. Percutaneous extracorporeal circulation-based vacuum-assisted thrombus aspiration is a viable option for removal. Wall adherence of thrombotic material can compromise procedural success. Case Report. A 46-year-old female presented with a subtotal thrombotic occlusion of the inferior vena cava and the proximal right common iliac vein after weaning from extracorporeal life support. Due to severe wall adherence of the thrombotic material, the patient was treated with the combination of percutaneous extracorporeal circulation-based thrombus aspiration using the AngioVac system and a rotational thrombectomy device.http://dx.doi.org/10.1155/2023/5178998
spellingShingle Julius Kaemmel
Roland Heck
Pia Lanmüller
Volkmar Falk
Christoph Starck
Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
Case Reports in Vascular Medicine
title Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
title_full Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
title_fullStr Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
title_full_unstemmed Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
title_short Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device
title_sort removal of wall adherent inferior vena cava thrombus with a combined approach using vacuum assisted thrombectomy and a rotational thrombectomy device
url http://dx.doi.org/10.1155/2023/5178998
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