AngioVac Aspiration for Paradoxical Emboli Protection through a Fenestrated Fontan During Central Venous Thrombus Manipulation

Ramsey Al-Hakim, Komal Patel, John M. Moriarty

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

This case reports describes a 39-year-old female with a history of surgically repaired hypoplastic left heart syndrome who presented with a left peripherally inserted central catheter (PICC) with associated large volume subclavian and brachiocephalic vein thrombus. Due to the presence of a right-to-left shunt via a fenestrated Fontan, there was clinical concern for a paradoxical embolism during removal of the PICC. The AngioVac aspiration system was successfully utilized to aspirate thromboemboli from the level of the proximal Glenn shunt during manipulation and removal of the PICC. This is the first reported case to demonstrate the safe and effective use of the AngioVac aspiration system for protection of paradoxical emboli through a cardiac right-to-left shunt during a procedure at high risk for thromboembolism.

Original languageEnglish (US)
Pages (from-to)752-754
Number of pages3
JournalCardiovascular and interventional radiology
Volume38
Issue number3
DOIs
StatePublished - Jun 1 2015

Keywords

  • AngioVac
  • Paradoxical emboli
  • Protection
  • Stroke
  • Thrombus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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