Key result
Real-time transesophageal echocardiography successfully guided a directed suction catheter for the removal of an atrial-caval thrombus, facilitating precise positioning and avoiding complications.
Why the study?
Thromboembolectomy is often guided with fluoroscopy, but transesophageal echocardiography may aid in assessing intracardiac and great vessel thrombi and guiding suction catheter placement.
Case Report (n=1)
No
Transesophageal echocardiography provides valuable real-time imaging and hemodynamic monitoring to safely guide intracardiac and great vessel thromboembolectomy.
May support TEE guidance during thromboembolectomy; leaves open need for comparative trials before practice change.
Thromboembolectomy is often guided with fluoroscopy. For intracardiac and great vessel thromboemboli, transesophageal echocardiography (TEE) can assess these thrombi, guide precise suction catheter placement, prevent intracardiac injury, and serve as a hemodynamic monitor. TEE can also be used to assess blood flow and thrombotic material reduction following embolectomy. TEE is a low-risk, high-value, real-time imaging modality that facilitates thromboembolectomy and increases patient safety.
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Miller et al. (2019) conducted a case report in Superior vena cava thrombus (n=1). Transesophageal echocardiography (TEE) guidance for AngioVac thromboembolectomy was evaluated. Real-time transesophageal echocardiography successfully guided a directed suction catheter for the removal of an atrial-caval thrombus, facilitating precise positioning and avoiding complications.
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