CC BY 4.0 · The Arab Journal of Interventional Radiology 2023; 07(S 01): S1-S41
DOI: 10.1055/s-0043-1763318
Category: Vascular Interventions

Intracardiac Echocardiography-Assisted AlphaVac Suction Thrombectomy of a Right Atrial Thrombus

Ayah Megahed
1   Yale New Haven Health - Bridgeport Hospital, Bridgeport, Connecticut, United States
,
Hamid Mojibian
2   Yale School of Medicine, New Haven, Connecticut, United States
› Author Affiliations
› Further Information
 

Background: Catheter ablation has brought major advances in the management of patients with atrial fibrillation (AF). AF catheter ablation can reduce the risk of recurrent AF and improve quality of life.

Case: A 64-year-old male with AF requiring multiple hospitalizations presented for ablation. The procedure was cancelled due to a clot versus mass found in the right atrial appendage partially visualized by TEE and confirmed on MRI. RAA thrombectomy was planned for fear of thrombus embolization during/after transeptal Afib ablation. A 9 French intracardiac echocardiography (ICE) probe was then advanced through a left femoral sheath into the right atrium. Intracardiac echocardiography demonstrated a 1.6 cm echogenic mass with a narrow stalk in the RAA. The thrombus was near totally aspirated with an AlphaVac aspiration catheter positioned in the right atrium via right femoral access under real-time ICE. Subsequently, the patient underwent successful AF ablation.

Discussion: Interventional radiologists can successfully and safely aspirate right atrial thrombi which can preclude AF ablative treatments.



Publication History

Article published online:
09 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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