Visceral aortic thrombectomy using endovascular technique
A 58-year-old male in cardiogenic shock requiring a left ventricular assist device and veno-arterial extracorporeal membrane oxygenation with worsening lactic acidosis was found to have acute occlusion of the visceral aorta, celiac axis, superior mesenteric artery (SMA), and left renal artery. We de...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872500139X |
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| author | Vy C. Dang, BS Shrishiv A. Timbalia, MD Maham Rahimi, MD, PhD |
| author_facet | Vy C. Dang, BS Shrishiv A. Timbalia, MD Maham Rahimi, MD, PhD |
| author_sort | Vy C. Dang, BS |
| collection | DOAJ |
| description | A 58-year-old male in cardiogenic shock requiring a left ventricular assist device and veno-arterial extracorporeal membrane oxygenation with worsening lactic acidosis was found to have acute occlusion of the visceral aorta, celiac axis, superior mesenteric artery (SMA), and left renal artery. We describe the off-label use of the Inari ProTrieve Sheath to prevent distal thromboembolic events during mechanical aortic thrombectomy in a patient on extracorporeal membrane oxygenation who could not tolerate aortic cross-clamping. Retrograde SMA thrombectomy and patch angioplasty was subsequently performed, followed by temporary abdominal closure. The patient’s lactic acidosis improved significantly, and repeat imaging revealed a patent aorta and SMA. |
| format | Article |
| id | doaj-art-34fa52bbe11348fcb55636c0596095e4 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-34fa52bbe11348fcb55636c0596095e42025-08-20T03:56:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410185710.1016/j.jvscit.2025.101857Visceral aortic thrombectomy using endovascular techniqueVy C. Dang, BS0Shrishiv A. Timbalia, MD1Maham Rahimi, MD, PhD2Texas A&M University College of Medicine, Bryan, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX; Correspondence: Maham Rahimi, MD, PhD, Department of Cardiovascular Surgery, Houston Methodist Hospital, 6550 Fannin St #1401, Houston, TX 77030A 58-year-old male in cardiogenic shock requiring a left ventricular assist device and veno-arterial extracorporeal membrane oxygenation with worsening lactic acidosis was found to have acute occlusion of the visceral aorta, celiac axis, superior mesenteric artery (SMA), and left renal artery. We describe the off-label use of the Inari ProTrieve Sheath to prevent distal thromboembolic events during mechanical aortic thrombectomy in a patient on extracorporeal membrane oxygenation who could not tolerate aortic cross-clamping. Retrograde SMA thrombectomy and patch angioplasty was subsequently performed, followed by temporary abdominal closure. The patient’s lactic acidosis improved significantly, and repeat imaging revealed a patent aorta and SMA.http://www.sciencedirect.com/science/article/pii/S246842872500139XAortic thrombusVisceral aortic thrombectomyEndovascular |
| spellingShingle | Vy C. Dang, BS Shrishiv A. Timbalia, MD Maham Rahimi, MD, PhD Visceral aortic thrombectomy using endovascular technique Journal of Vascular Surgery Cases and Innovative Techniques Aortic thrombus Visceral aortic thrombectomy Endovascular |
| title | Visceral aortic thrombectomy using endovascular technique |
| title_full | Visceral aortic thrombectomy using endovascular technique |
| title_fullStr | Visceral aortic thrombectomy using endovascular technique |
| title_full_unstemmed | Visceral aortic thrombectomy using endovascular technique |
| title_short | Visceral aortic thrombectomy using endovascular technique |
| title_sort | visceral aortic thrombectomy using endovascular technique |
| topic | Aortic thrombus Visceral aortic thrombectomy Endovascular |
| url | http://www.sciencedirect.com/science/article/pii/S246842872500139X |
| work_keys_str_mv | AT vycdangbs visceralaorticthrombectomyusingendovasculartechnique AT shrishivatimbaliamd visceralaorticthrombectomyusingendovasculartechnique AT mahamrahimimdphd visceralaorticthrombectomyusingendovasculartechnique |