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Successful cerebral protection during removal of large right atrial thrombus with AngioVac in a patient with patent foramen ovale and recent embolic stroke 

Published bySzebasztián Gál Modified over 5 years ago

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Presentation on theme: "Successful cerebral protection during removal of large right atrial thrombus with AngioVac in a patient with patent foramen ovale and recent embolic stroke "— Presentation transcript:

1 Successful cerebral protection during removal of large right atrial thrombus with AngioVac in a patient with patent foramen ovale and recent embolic stroke  Hunter M. Ray, MD, Zain Al Rstum, MD, Naveed U. Saqib, MD, FACS  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 5, Issue 3, Pages (September 2019) DOI: /j.jvscit Copyright © 2019 The Author(s) Terms and Conditions

2 Fig 1 A, Initial transthoracic echocardiogram demonstrating ×1.42-cm right atrial mass. B, Computed tomography angiogram of the chest demonstrating right atrial mass (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

3 Fig 2 Transthoracic echocardiogram on hospital day 8 demonstrating ×1.61-cm right atrial mass. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

4 Fig 3 Angiogram demonstrating placement of the Sentinel Cerebral Protection System (CPS; Boston Scientific, Marlborough, Mass) with the proximal stent in the innominate artery (A), shaping of the catheter tip and selection of the left common carotid artery (B), and deployment of the distal filter in the left common carotid artery (C). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

5 Fig 4 Fluoroscopy images demonstrating both the transfemoral approach (A) and the transjugular approach (B) with the AngioVac cannula noted in the right atrium with transesophageal echocardiography (TEE) probe for guidance. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

6 Fig 5 Completion intraoperative transesophageal echocardiography (TEE) demonstrating nearly complete resolution of the right atrial mass after suction thrombectomy with the AngioVac system. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Author(s) Terms and Conditions

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