AngioVac aspiration of right atrial cardiac pacemaker lead-associated thrombus with concurrent PE under fluoroscopic and transesophageal echocardiographic guidance: a multidisciplinary collaboration for improved patient outcome
Key result
Vacuum-assisted thrombectomy successfully treats complex pacemaker lead-associated right heart thrombus in concurrent acute PE.
- n=1
Why the study?
Consensus on the optimal management of acute massive or high-risk PE remains unclear, particularly when complicated by concurrent right heart thrombus.
Comparison
Vacuum-assisted thrombectomy with the AngioVac system
Design
Case report
Authors
Discussion
Loading...
Member takes
Implication
VAT feasibility in PE with RHT and lead thrombus; leaves open optimal management pending prospective trials.
Key Points
- This report aims to illustrate the effective management of right heart thrombus associated with pulmonary embolism using vacuum-assisted thrombectomy.
- Successfully coordinated vacuum-assisted thrombectomy of pacemaker lead-associated right heart thrombus.
- Utilized AngioVac system with fluoroscopic and transesophageal echocardiographic guidance.
- Engaged a multidisciplinary collaboration including the Pulmonary Embolism Response Team (PERT).
- The vacuum-assisted thrombectomy achieved procedural success, effectively removing the thrombus.
- Patient outcomes were significantly improved due to the multidisciplinary approach to treatment.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
1 patient with a complex pacemaker lead-associated right heart thrombus, concurrent acute pulmonary embolism, and significant comorbidities.
I
Intervention
Vacuum-assisted thrombectomy (VAT) using the AngioVac system under fluoroscopic and transesophageal echocardiographic guidance.
O
Outcome
Procedural success and patient outcome
Vacuum-assisted thrombectomy using the AngioVac system is a feasible treatment option for complex right heart thrombi and concurrent PE, especially in poor surgical candidates.
Cite This Study
Yu et al. (2021) conducted a case report in Right heart thrombus and concurrent acute pulmonary embolism (n=1). Vacuum-assisted thrombectomy (VAT) using the AngioVac system was evaluated. Vacuum-assisted thrombectomy using the AngioVac system was successfully used to treat a complex pacemaker lead-associated right heart thrombus in a patient with concurrent acute pulmonary embolism.