Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2019)

Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance

  • Christopher D. Murter, MD,
  • Abindra Sigdel, MD,
  • Amit J. Dwivedi, MD,
  • Erik J. Wayne, MD

Journal volume & issue
Vol. 5, no. 4
pp. 472 – 476

Abstract

Read online

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