Suction thrombectomy of catheter-associated right atrial thrombus in two patients

Authors

Ashwin P. Deshmukh, Department of Radiology, Yale New Haven Health-Bridgeport Hospital, Bridgeport, CT, USA.
Joshua Cornman-Homonoff, Section of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.

Document Type

Article

Publication Title

The journal of vascular access

Abstract

Catheter associated right atrial thrombus (CRAT) is an uncommon but potentially life-threatening condition. There are no established guidelines for management, and treatment ranges from systemic anticoagulation and thrombolysis to open surgery. While there have been reports on use of suction thrombectomy for right atrial thrombi, the feasibility and outcomes of suction thrombectomy in CRAT have not been described. These two cases describe a successful off-label use of two devices (Triever 20, Inari Medical, Irvine, CA, and AlphaVac, AngioDynamics, Latham, NY) for thrombectomy in CRAT. Both patients had near complete extraction of chronic appearing thrombus, with follow up imaging demonstrating complete resolution. Suction thrombectomy may have a unique role in management in CRAT, especially in cases of infected thrombi. A formal exemption from the institutional review board was obtained for publication.

First Page

1020

Last Page

1022

DOI

10.1177/11297298231162879

Publication Date

5-1-2024

Recommended Citation

Deshmukh, Ashwin P. and Cornman-Homonoff, Joshua, "Suction thrombectomy of catheter-associated right atrial thrombus in two patients" (2024). All Research. 10.
https://scholar.bridgeporthospital.org/all_research/10

Identifier

36971395 (pubmed); 10.1177/11297298231162879 (doi)