The Use of AngioVac for Symptomatic Aortic Thrombus Complicated by Mesenteric Ischemia

Annals of Vascular Surgery
Spyridon MonastiriotisApostolos K Tassiopoulos

Abstract

Aortic thrombus complicated by mesenteric ischemia is a rare but rather challenging entity. With the recent advancements of endovascular techniques, there is a trend to replace the traditional open surgery with an endovascular approach. We report a patient with paravisceral aortic thrombus involving the celiac artery and superior mesenteric artery (SMA). The patient was complaining of worsening abdominal pain, with clinical findings of leukocytosis, normal lactate, and diagnostic laparoscopy demonstrating a segment of threatened jejunum. We describe the novel use of vacuum-assisted suction filtration device in combination with over-the-wire thrombectomy and stenting to successfully restore blood flow within the SMA. The patient had resolution of her symptoms with improved blood flow to the bowel and no need for resection.

References

Oct 9, 2002·Journal of Vascular Surgery·Michael E BowdishDouglas B Hood
Mar 1, 2013·Journal of Cardiac Surgery·Nishant PatelImmad Sadiq
Feb 4, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BoufiY S Alimi
Feb 11, 2014·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Ahmed K PashaMohammad Reza Movahed
Mar 4, 2014·Journal of Vascular and Interventional Radiology : JVIR·Steven J SmithMichael J Sichlau
Feb 3, 2015·The Annals of Thoracic Surgery·Joshua C GrimmChristopher M Sciortino

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Citations

Aug 7, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nikolaos TsilimparisTilo Kölbel
Jan 21, 2021·Texas Heart Institute Journal·Jeanney KangDavid M Shavelle
Mar 5, 2017·Annals of Vascular Surgery·Andrés Reyes ValdiviaClaudio Gandaria
Jul 20, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Santiago RolonPeter J Rossi

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