CardioVascular and Interventional Radiology

, Volume 20, Issue 2, pp 142–145

Right atrial thrombi: Percutaneous mechanical thrombectomy

  • Jean-Paul Beregi
  • Valérie Aumégeat
  • Christophe Loubeyre
  • Jean-Michel Coullet
  • Philippe Asseman
  • Caroline Debacker-Steckelorom
  • Jean-Jacques Bauchart
  • Peng Cheng Liu
  • Claude Théry
Case Reports

DOI: 10.1007/s002709900123

Cite this article as:
Beregi, JP., Aumégeat, V., Loubeyre, C. et al. Cardiovasc Intervent Radiol (1997) 20: 142. doi:10.1007/s002709900123

Abstract

The current therapeutic options for right atrial thrombi—surgical embolectomy and thrombolysis— are associated with high mortality and such patients often have contraindications to these therapeutic options. the purpose of this study was to evaluate the feasibility of endovascular right atrial embolectomy. Two patients with contraindications to thrombolysis and surgery were treated by a femoral approach. A catheter was placed in the right atrium, under fluoroscopic control, and a basket device was used to trap the thrombus. The location and extent of the thrombus was established before the procedure by transesophageal echocardiography (TEE) and the procedure was performed with TEE and fluoroscopy. Thrombi were withdrawn in the basket into the inferior vena cava (IVC) and a filter was inserted by a jugular approach and positioned in the IVC, just above the thrombi. The basket was removed leaving the thrombus below the filter. One patient died immediately after the procedure. In conclusion, endovascular extraction of right atrial thrombi may represent a potential therapeutic alternative, particularly in patients with contraindications to thrombolysis and surgery.

Key words

Atrial thrombi Pulmonary emboli Endovascular treatment Thrombolytic therapy 

Copyright information

© Springer-Verlag New York Inc 1997

Authors and Affiliations

  • Jean-Paul Beregi
    • 1
  • Valérie Aumégeat
    • 1
  • Christophe Loubeyre
    • 2
  • Jean-Michel Coullet
    • 1
  • Philippe Asseman
    • 2
  • Caroline Debacker-Steckelorom
    • 1
  • Jean-Jacques Bauchart
    • 2
  • Peng Cheng Liu
    • 1
  • Claude Théry
    • 2
  1. 1.Service de Radiologie Vasculaire, Hôpital CardiologiqueCHRU de LilleLille CédexFrance
  2. 2.Service des Soins Intensifs, Hôpital CardiologiqueCHRU de LilleLille CédexFrance

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