CardioVascular and Interventional Radiology

, Volume 38, Issue 4, pp 1021–1024 | Cite as

A Novel Technique for Endovascular Removal of Large Volume Right Atrial Tumor Thrombus

  • Barbara NickelEmail author
  • Timothy McClure
  • John Moriarty
Case Report


Venous thromboembolic disease is a significant cause of morbidity and mortality, particularly in the setting of large volume pulmonary embolism. Thrombolytic therapy has been shown to be a successful treatment modality; however, its use somewhat limited due to the risk of hemorrhage and potential for distal embolization in the setting of large mobile thrombi. In patients where either thrombolysis is contraindicated or unsuccessful, and conventional therapies prove inadequate, surgical thrombectomy may be considered. We present a case of percutaneous endovascular extraction of a large mobile mass extending from the inferior vena cava into the right atrium using the Angiovac device, a venovenous bypass system designed for high-volume aspiration of undesired endovascular material. Standard endovascular methods for removal of cancer-associated thrombus, such as catheter-directed lysis, maceration, and exclusion, may prove inadequate in the setting of underlying tumor thrombus. Where conventional endovascular methods either fail or are unsuitable, endovascular thrombectomy with the Angiovac device may be a useful and safe minimally invasive alternative to open resection.


Experimental IR Interventional Oncology Aspiration Thrombectomy Vena Cava Heart/Cardiac Cancer 


Conflict of interest

Barbara Nickel, Timothy McClure and John Moriarty have no conflict of interest.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  • Barbara Nickel
    • 1
    • 2
    Email author
  • Timothy McClure
    • 2
  • John Moriarty
    • 2
  1. 1.US Teleradiology and Quantum Medical Radiology GroupPalm SpringsUSA
  2. 2.Department of Interventional RadiologyUCLA Medical CenterLos AngelesUSA

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