Why the study?
Surgical thrombectomy is the gold standard for right heart thrombi, but some patients have prohibitive surgical risk, making percutaneous alternatives increasingly relevant.
Does percutaneous mechanical thrombectomy using a suction catheter and endovascular snare successfully remove right atrial thrombi in patients with prohibitive surgical risk?
Does percutaneous mechanical thrombectomy using a suction catheter and endovascular snare successfully remove right atrial thrombi in patients with prohibitive surgical risk?
Percutaneous mechanical thrombectomy using a suction catheter and endovascular snare system may be a safe and effective alternative to surgery for right atrial thrombi in high-risk patients.
Answers are grounded in this paper and cite their sources.
May offer percutaneous option for high-risk right heart thrombus patients; hypothesis-generating pending comparative trials.
Surgical thrombectomy is considered the gold standard approach for removal of thrombotic disease within the right heart (RiTH), however some patients have prohibitive surgical risk and the percutaneous approach has been increasingly popular in the past few years. In this manuscript, we present two case reports of patients with both acute and chronic right atrial thrombi; in whom elevated surgical risk deemed them not surgical candidates and both successfully underwent mechanical thrombectomy with Flow Triever suction catheter and En snare endovascular system. To our knowledge, these are the first reported cases of the use of both of these devices for treatment of RiTH.
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Lewis et al. (2022) studied this question.
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