Suction thrombectomy of catheter-associated right atrial thrombus in two patients.
Ashwin P DeshmukhJoshua Cornman-HomonoffPublished in: The journal of vascular access (2023)
Catheter associated right atrial thrombus (CRAT) is an uncommon but potentially life-threatening condition. There are no established guidelines for management, and treatment ranges from systemic anticoagulation and thrombolysis to open surgery. While there have been reports on use of suction thrombectomy for right atrial thrombi, the feasibility and outcomes of suction thrombectomy in CRAT have not been described. These two cases describe a successful off-label use of two devices (Triever 20, Inari Medical, Irvine, CA, and AlphaVac, AngioDynamics, Latham, NY) for thrombectomy in CRAT. Both patients had near complete extraction of chronic appearing thrombus, with follow up imaging demonstrating complete resolution. Suction thrombectomy may have a unique role in management in CRAT, especially in cases of infected thrombi. A formal exemption from the institutional review board was obtained for publication.
Keyphrases
- acute ischemic stroke
- end stage renal disease
- atrial fibrillation
- ejection fraction
- newly diagnosed
- chronic kidney disease
- high resolution
- minimally invasive
- peritoneal dialysis
- healthcare
- patient reported outcomes
- coronary artery bypass
- heart failure
- photodynamic therapy
- left ventricular
- insulin resistance
- coronary artery disease
- adipose tissue
- clinical practice
- percutaneous coronary intervention
- combination therapy
- catheter ablation
- patient reported
- ultrasound guided