Key result
Aspiration thrombectomy clears a 20-cm free-floating right atrial thrombus, rapidly resolving hypoxia and dyspnea.
Case Report (n=1)
No
Mechanical aspiration thrombectomy is a feasible and effective multidisciplinary treatment option for free-floating right atrial thrombus in transit.
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May be feasible for select right atrial thrombi; hypothesis-generating and requires prospective validation before practice change.
Sherman et al. (2020) conducted a case report in Bilateral pulmonary embolism, deep vein thrombosis, and a mobile right atrial mass (n=1). Aspiration thrombectomy (AngioVac) was evaluated on Removal of thrombus and resolution of symptoms. Aspiration thrombectomy successfully removed a 20-cm free-floating right atrial thrombus, leading to rapid resolution of hypoxia and dyspnea.
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