Abstract
Purpose
The AngioVac catheter system is a mechanical suction device designed for removal of intravascular material using extracorporeal veno-venous bypass circuit. The purpose of this study is to present the outcomes in patients treated with the AngioVac aspiration system and to discuss its efficacy in different vascular beds.
Materials and Methods
A retrospectively review was performed of seven patients treated with AngioVac between October 2013 and December 2014. In 6/7 cases, the AngioVac cannula was inserted percutaneously and the patient was placed on veno-venous bypass. In one of the cases, the cannula was inserted directly into the Fontan circuit after sternotomy and the patient was maintained on cardiopulmonary bypass. Thrombus location included iliocaval (2), SVC (1), pulmonary arteries (1), Fontan circuit and Glenn shunt with pulmonary artery extension (1), right atrium (1), and IVC with renal vein extension (1).
Results
The majority of thrombus (50–95 %) was removed in 5/7 cases, and partial thrombus removal (<50 %) was confirmed in 2/7 cases. Mean follow-up was 205 days (range 64–403 days). All patients were alive at latest follow-up. Minor complications included three neck hematomas in two total patients. No major complications occurred.
Conclusion
AngioVac is a useful tool for acute thrombus removal in the large vessels. The setup and substantial cost may limit its application in straightforward cases. More studies are needed to establish the utility of AngioVac in treatment of intravascular and intracardiac material.
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Conflict of interest
Jason Salsamendi, Mehul Doshi, Matthew Bordegaray, Rahul Arya, and Connor Morton do not have any conflicts of interest or financial disclosures. Shivank Bhatia is a speaker for AngioDynamics. Govindarajan Narayanan is a speaker and consultant for AngioDynamics.
Statement of Informed Consent
This study was approved by the hospital’s institutional review board (IRB). For this type of study, formal consent is not required.
Statement of Human and Animal Rights
All procedures performed in this study which involved human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Salsamendi, J., Doshi, M., Bhatia, S. et al. Single Center Experience with the AngioVac Aspiration System. Cardiovasc Intervent Radiol 38, 998–1004 (2015). https://doi.org/10.1007/s00270-015-1152-x
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DOI: https://doi.org/10.1007/s00270-015-1152-x