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Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance.

ABSTRACT: 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.

SUBMITTER: Murter CD

PROVIDER: S-EPMC6859285 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance.

Murter Christopher D CD Sigdel Abindra A Dwivedi Amit J AJ Wayne Erik J EJ

Journal of vascular surgery cases and innovative techniques 20191113 4

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 thr ...[more]

PMID: 31763501

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