Successful impella-assisted suction thrombectomy of right heart thrombus via the AngioVac device: Advantages, limitations, and alternatives

Shahrad Shadman; Stephen Heyliger; Carolyn Watts; Nima Aghili

doi:10.1002/ccd.29545

Successful impella-assisted suction thrombectomy of right heart thrombus via the AngioVac device: Advantages, limitations, and alternatives

Catheter Cardiovasc Interv. 2021 May 1;97(6):1296-1300. doi: 10.1002/ccd.29545. Epub 2021 Feb 12.

Authors

Shahrad Shadman¹, Stephen Heyliger², Carolyn Watts², Nima Aghili²

Affiliations

¹ Department of Medicine, University of Maryland Medical System, Capital Region Health, Cheverly, Maryland.
² Colorado Heart and Vascular, Lakewood, Colorado.

PMID: 33576557
DOI: 10.1002/ccd.29545

Abstract

An elderly man with cardiogenic shock who was found to have a thrombus burden in the right atrium was described. The thrombus was suctioned via the AngioVac device, with assistance from the Impella CP. This is the first reported case of the use of the AngioVac device in conjunction with left-sided mechanical circulatory devices.

Keywords: cardiogenic shock; left ventricular function; pulmonary embolism; thrombectomy; ventricular assist device.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Heart-Assist Devices*
Humans
Male
Shock, Cardiogenic / diagnosis
Shock, Cardiogenic / etiology
Shock, Cardiogenic / therapy
Suction
Thrombectomy
Thrombosis* / diagnostic imaging
Thrombosis* / surgery
Treatment Outcome