Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance

Christopher D Murter; Abindra Sigdel; Amit J Dwivedi; Erik J Wayne

doi:10.1016/j.jvscit.2019.06.013

Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance

J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):472-476. doi: 10.1016/j.jvscit.2019.06.013. eCollection 2019 Dec.

Authors

Christopher D Murter¹, Abindra Sigdel¹, Amit J Dwivedi¹, Erik J Wayne¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, Ky.

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.

Keywords: Mural aortic thrombus; Thrombectomy.