Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance

Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance

Mural aortic thrombus is a challenging clinical problem with significant potential complications. Particularly precarious are situations with involvement of the visceral segment of the aorta. We describe a technique for percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasoun...

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Main Authors: Christopher D. Murter, MD, Abindra Sigdel, MD, Amit J. Dwivedi, MD, Erik J. Wayne, MD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719300930
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spelling doaj-78b4a2fd974e4a85b2968733e7147cc52020-11-25T02:44:58ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154472476Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidanceChristopher D. Murter, MD0Abindra Sigdel, MD1Amit J. Dwivedi, MD2Erik J. Wayne, MD3Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, KyDivision of Vascular and Endovascular Surgery, University of Louisville, Louisville, KyDivision of Vascular and Endovascular Surgery, University of Louisville, Louisville, KyCorrespondence: Erik J. Wayne, MD, Division of Vascular and Endovascular Surgery, Department of Surgery, University of Louisville, 550 S Jackson St, Louisville, KY 40202; Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, KyMural aortic thrombus is a challenging clinical problem with significant potential complications. Particularly precarious are situations with involvement of the visceral segment of the aorta. We describe a technique for percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound to guide an angled mechanical thrombectomy catheter in conjunction with a continuous aspiration system (Indigo mechanical thrombectomy system; Penumbra, Alameda, Calif). Use of this technique in three patients with challenging cases of mural aortic thrombus is discussed. All patients were treated successfully and without complication using this technique. Keywords: Mural aortic thrombus, Thrombectomyhttp://www.sciencedirect.com/science/article/pii/S2468428719300930
collection DOAJ
language English
format Article
sources DOAJ
author Christopher D. Murter, MD
Abindra Sigdel, MD
Amit J. Dwivedi, MD
Erik J. Wayne, MD
spellingShingle Christopher D. Murter, MD
Abindra Sigdel, MD
Amit J. Dwivedi, MD
Erik J. Wayne, MD
Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Christopher D. Murter, MD
Abindra Sigdel, MD
Amit J. Dwivedi, MD
Erik J. Wayne, MD
author_sort Christopher D. Murter, MD
title Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
title_short Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
title_full Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
title_fullStr Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
title_full_unstemmed Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
title_sort percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2019-12-01
description Mural aortic thrombus is a challenging clinical problem with significant potential complications. Particularly precarious are situations with involvement of the visceral segment of the aorta. We describe a technique for percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound to guide an angled mechanical thrombectomy catheter in conjunction with a continuous aspiration system (Indigo mechanical thrombectomy system; Penumbra, Alameda, Calif). Use of this technique in three patients with challenging cases of mural aortic thrombus is discussed. All patients were treated successfully and without complication using this technique. Keywords: Mural aortic thrombus, Thrombectomy
url http://www.sciencedirect.com/science/article/pii/S2468428719300930
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AT amitjdwivedimd percutaneousthrombectomyofmuralaorticthrombususingintravascularultrasoundguidance
AT erikjwaynemd percutaneousthrombectomyofmuralaorticthrombususingintravascularultrasoundguidance
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