The role of percutaneous vacuum-assisted thrombectomy for intracardiac and intravascular pathology.
Craig BasmanUmar RashidYuvrajsinh J ParmarChad KligerItzhak KronzonPublished in: Journal of cardiac surgery (2018)
Vacuum-assisted thrombectomy (VAT) is a mechanical suction device that can be deployed to aspirate thrombi in the heart and vascular system. Successful percutaneous aspiration of iliocaval, right heart, and pulmonary arterial thrombi have been reported, in addition to the debulking of intravascular and intracardiac masses and vegetations. VAT is indicated for patients who are poor surgical candidates and/or have a contraindication to thrombolysis. This review discusses the mechanism, current results, potential clinical indications, and limitations of VAT for iliocaval and intracardiac mass removal.
Keyphrases
- ultrasound guided
- acute ischemic stroke
- left atrial appendage
- end stage renal disease
- heart failure
- coronary artery
- minimally invasive
- ejection fraction
- chronic kidney disease
- newly diagnosed
- pulmonary embolism
- prognostic factors
- pulmonary hypertension
- radiofrequency ablation
- neoadjuvant chemotherapy
- magnetic resonance imaging
- squamous cell carcinoma
- magnetic resonance
- computed tomography
- climate change
- risk assessment
- contrast enhanced
- patient reported