Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System

The AngioVac system was invented in 2012 and was originally designed for the removal of thrombi from the venous system. It has been successfully used in the management of iliocaval and right endocardial thrombi but is reportedly less effective in the management of pulmonary emboli (PE). Since its ad...

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Main Authors: Justin Ugwu, Umbreen Hussein, Sampson Alliu, Ravi Gurujal
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/6279019
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author Justin Ugwu
Umbreen Hussein
Sampson Alliu
Ravi Gurujal
author_facet Justin Ugwu
Umbreen Hussein
Sampson Alliu
Ravi Gurujal
author_sort Justin Ugwu
collection DOAJ
description The AngioVac system was invented in 2012 and was originally designed for the removal of thrombi from the venous system. It has been successfully used in the management of iliocaval and right endocardial thrombi but is reportedly less effective in the management of pulmonary emboli (PE). Since its advent, there has been interest in its application towards other medical situations. One of the most revolutionary uses thus far has been for percutaneous debridement of valvular and cardiac electronic device-associated vegetations. In most instances, the AngioVac device has been used to obviate the need for surgery in high-risk patients. Here, we describe a novel use of this device in the successful retrieval of a large, mobile, infected thrombus from the right ventricular outflow tract in a high surgical-risk patient.
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spelling doaj-art-6e769a4c9e764ec18e67ee84caf29b522025-08-20T02:06:27ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/62790196279019Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac SystemJustin Ugwu0Umbreen Hussein1Sampson Alliu2Ravi Gurujal3Department of Hospital Medicine, Miami Valley Hospital, Dayton, Ohio, USACardiovascular Disease Fellowship, Wright State University, Dayton, Ohio, USADepartment of Cardiovascular Medicine, Maimonides Medical Center, Brooklyn, New York, USADepartment of Cardiology, Miami Valley Hospital, Dayton, Ohio, USAThe AngioVac system was invented in 2012 and was originally designed for the removal of thrombi from the venous system. It has been successfully used in the management of iliocaval and right endocardial thrombi but is reportedly less effective in the management of pulmonary emboli (PE). Since its advent, there has been interest in its application towards other medical situations. One of the most revolutionary uses thus far has been for percutaneous debridement of valvular and cardiac electronic device-associated vegetations. In most instances, the AngioVac device has been used to obviate the need for surgery in high-risk patients. Here, we describe a novel use of this device in the successful retrieval of a large, mobile, infected thrombus from the right ventricular outflow tract in a high surgical-risk patient.http://dx.doi.org/10.1155/2019/6279019
spellingShingle Justin Ugwu
Umbreen Hussein
Sampson Alliu
Ravi Gurujal
Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
Case Reports in Cardiology
title Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
title_full Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
title_fullStr Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
title_full_unstemmed Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
title_short Percutaneous Aspiration of a Mobile Infected Thrombus from the Right Ventricular Outflow Tract Using the AngioVac System
title_sort percutaneous aspiration of a mobile infected thrombus from the right ventricular outflow tract using the angiovac system
url http://dx.doi.org/10.1155/2019/6279019
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AT sampsonalliu percutaneousaspirationofamobileinfectedthrombusfromtherightventricularoutflowtractusingtheangiovacsystem
AT ravigurujal percutaneousaspirationofamobileinfectedthrombusfromtherightventricularoutflowtractusingtheangiovacsystem